Peninsula Dental Center

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PENINSULA DENTAL CENTER

Practice address

47707 Judy Lynn Lane
Soldotna, AK 99669

Phone

(907) 283-9125

Fax

(907) 283-9184

NPI assigned

Jul 25, 2014

Last updated

Jul 25, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Todd S Christensen, DDS

Title

Dentist

Phone

(907) 452-8296

Specialties & licenses 1

Addresses

Tax ID family

Advanced Family Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Advanced Family Dental Care

  • General Practice Dentistry
  • Anchorage, AK
  • NPI 1588808679
  NPD tax ID

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1609284322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47707 JUDY LYNN LANE",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "99669",
            "telephone_number": "907-283-9125",
            "fax_number": "907-283-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47707 JUDY LYNN LANE",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "99669",
            "telephone_number": "907-283-9125",
            "fax_number": "907-283-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "907-452-8296",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer A Pelka
• Peninsula Allergy & Asthma Center LLC
• Peninsula Community Health Services of Alaska, Inc.
• Peninsula Community Health Services of Alaska, Inc.
• Peninsula Dental Center
• Peninsula Dental Center
• Peninsula Eye Clinic, Apc
• Peninsula Health Center Inc.
• Peninsula Health Center, Inc
• Peninsula Hearing Services, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; 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.