NPIMap

Organization Active NPI

Molar Enterprise, Inc.

Doing business as Timbercrest Dental

  • General Practice Dentistry
  • Delta Junction, AK
National Provider Identifier
1730490996
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MOLAR ENTERPRISE, INC.
Doing business as
Timbercrest Dental
Practice address
2270 Nistler Rd
Delta Junction, AK 99737-0985
Phone
(907) 895-4274
Fax
(907) 895-4276
NPI assigned
Jun 23, 2010
Last updated
Jul 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Paul Charles Anderson, DDSNPI 1467554733
Title
President
Phone
(907) 895-4274

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2270 Nistler Rd
Delta Junction, AK 99737-0985

Mailing address

PO Box 985
Delta Junction, AK 99737-0985
Phone (907) 895-4274

Other identifiers 2

IdentifierTypeStateIssuer
DD08701MedicaidAK
DDG033MedicaidAK

Other names 1

  • Timbercrest Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1730490996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 985",
            "city": "DELTA JUNCTION",
            "state": "AK",
            "postal_code": "997370985",
            "telephone_number": "907-895-4274",
            "fax_number": "907-895-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 NISTLER RD",
            "city": "DELTA JUNCTION",
            "state": "AK",
            "postal_code": "997370985",
            "telephone_number": "907-895-4274",
            "fax_number": "907-895-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLAR ENTERPRISE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-895-4274",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DD08701",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DDG033",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Timbercrest Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delta Junction, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.