Mainsl Alaska LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MAINSL ALASKA LLC

Practice address

2029 Cannoneer Cir
Anchorage, AK 99507-4697

Phone

(763) 494-4553

NPI assigned

Oct 29, 2013

Organization subpart

No

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

Authorized official

Name

Doretta Jean Koenig

Title

Cfo

Phone

(763) 416-9102

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1629406749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 78TH AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452744",
            "telephone_number": "763-494-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 CANNONEER CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995074697",
            "telephone_number": "763-494-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINSL ALASKA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "KOENIG",
        "authorized_official_first_name": "DORETTA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "763-416-9102"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Maillet
• Stephen L. Mailloux, PH. D.
• Erin Chistine Main, OTR/L
• Patricia Main
• Amelia Victoria Mainord
• David Lynn Maisey, DDS
• Carolyn C Majors, D.O.
• Makar Eyecare
• Makar Eyecare LLC
• Anthony J Makar, O.D.

• Community/Behavioral Health Agency in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Community/Behavioral Health Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.