Thomas Nelson Wanat Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

AK986 Issued in AK

Practice address

3340 Providence Dr
Suite 560
Anchorage, AK 99508-4616

Phone

(907) 562-6648

Fax

(907) 561-8385

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538220140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20313 NEW ENGLAND DR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777114",
            "telephone_number": "907-696-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 PROVIDENCE DR",
            "address_2": "SUITE 560",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084616",
            "telephone_number": "907-562-6648",
            "fax_number": "907-561-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANAT",
        "first_name": "THOMAS",
        "middle_name": "NELSON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "AK986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Dale Walz, D.O, M.P.H.
• Elissa Walz, CCM
• Angela Wampler, PHARMD
• Anne Marie Wanaselja, M.D.
• Thomas Nelson Wanat III, D.M.D., M.S.
• Hannah Wandersee, PTA
• Nolan Wandersee, OTR/L
• John William Wanek, PHARMD
• Andrea Susan Wang, MD
• Rebecka Wang

• General Practice Dentistry in Anchorage, AK
• Providers in Anchorage, AK by specialty
• General Practice Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.