NPIMap

Organization Active NPI

Aurora Dental Care

  • General Practice Dentistry
  • Wasilla, AK
National Provider Identifier
1700312188
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D1355 Issued in AK
Legal business name
AURORA DENTAL CARE
Practice address
4501 E Snider Dr
Wasilla, AK 99654-7604
Phone
(907) 376-8400
Fax
(907) 376-8402
NPI assigned
May 4, 2017
Last updated
May 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Authorized official

Name
Nicholas MethvenNPI 1154631224
Title
President
Phone
(907) 841-1880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D1355 AK Primary

Addresses

Primary practice location

4501 E Snider Dr
Wasilla, AK 99654-7604

Mailing address

4501 E Snider Dr
Wasilla, AK 99654-7604
Phone (907) 376-8400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1700312188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 E SNIDER DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547604",
            "telephone_number": "907-376-8400",
            "fax_number": "907-376-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 E SNIDER DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547604",
            "telephone_number": "907-376-8400",
            "fax_number": "907-376-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-04",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "METHVEN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-841-1880"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "D1355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.