Active NPI
Birch Arthur Yuknis, DDS
- Dentist
- Wasilla, AK
National Provider Identifier
1750308599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 992
- Practice address
- 1700 Bogard Rd
BLDG a Ste 202
Wasilla, AK 99654-6533 - Phone
- (907) 376-9591
- Fax
- (907) 357-6345
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 992 | AK | Primary |
Addresses
Primary practice location
1700 Bogard Rd
BLDG a Ste 202
Wasilla, AK 99654-6533
Mailing address
1700 Bogard Rd
BLDG a Ste 202
Wasilla, AK 99654-6533
Phone (907) 376-9591
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 917825 | Other | AK | TRICARE |
| DD09921 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 992 | AK | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750308599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 BOGARD RD",
"address_2": "BLDG A STE 202",
"city": "WASILLA",
"state": "AK",
"postal_code": "996546533",
"telephone_number": "907-376-9591",
"fax_number": "907-357-6345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 BOGARD RD",
"address_2": "BLDG A STE 202",
"city": "WASILLA",
"state": "AK",
"postal_code": "996546533",
"telephone_number": "907-376-9591",
"fax_number": "907-357-6345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUKNIS",
"first_name": "BIRCH",
"middle_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AK",
"license": "992",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "917825",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DD09921",
"state": "AK"
}
],
"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 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.