Todd C Miles LLC Dba Delaney Park Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

TODD C MILES LLC DBA DELANEY PARK DENTAL

Doing business as

Delaney Park Dental

Practice address

880 N St Ste 301
Anchorage, AK 99501-3276

Phone

(907) 276-7787

Fax

(907) 258-1685

NPI assigned

Sep 13, 2018

Last updated

Sep 13, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

DELANEY PARK DENTALAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stacie Michelle Garrabrant

Title

Office Manager

Phone

(907) 276-7787

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Delaney Park Dental Doing business as

Part of

Todd C Miles LLC Dba Delaney Park Dental

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Richard Andersen, DMD

  • General Practice Dentistry
  • Anchorage, AK
  • NPI 1356260178
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536796800000",
    "number": "1528541752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 N ST STE 301",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013276",
            "telephone_number": "907-276-7787",
            "fax_number": "907-258-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 N ST STE 301",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013276",
            "telephone_number": "907-276-7787",
            "fax_number": "907-258-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD C MILES LLC DBA DELANEY PARK DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DELANEY PARK DENTAL",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A",
        "authorized_official_last_name": "GARRABRANT",
        "authorized_official_first_name": "STACIE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "907-276-7787"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "122989",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delaney Park Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edward Toal, LMT
• Hannah Toberman, PA-C
• Marie Francoise Tchaya E Tobey, RN
• Lisa Mary Tobin
• Samantha L Tocchini, L.A.C, LMT
• Claire Constance Todd
• Jacqueline H Todd, CDC
• Jaleel Tarik Todd
• Michael A Todd, MD, FACS
• Pamela Todd, M.D.

• Dentist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Dentist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.