NPIMap

Organization Active NPI

Mann Family Dental, LLC

  • Dental Clinic/Center
  • Wasilla, AK
National Provider Identifier
1790205763
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MANN FAMILY DENTAL, LLC
Doing business as
Mann Family Dental
Practice address
4641 Froniter Plaza Dr
Wasilla, AK 99654
Phone
(907) 373-2227
NPI assigned
Jun 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Authorized official

Name
Alicia Zalanka
Title
Manager
Phone
(907) 903-6145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4641 Froniter Plaza Dr
Wasilla, AK 99654

Mailing address

4641 E Frontier Plaza Dr
Wasilla, AK 99654-6044
Phone (907) 373-2227

Other practice location 1

3341 E Palmdale Dr # 1
Wasilla, AK 99654-6044
Phone (907) 373-2227

Other identifiers 1

IdentifierTypeStateIssuer
1676113MedicaidAK

Other names 1

  • Mann Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

4641 E Frontier Plaza Dr
Wasilla, AK 99654
Phone (907) 373-2227

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667865600000",
    "number": "1790205763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4641 E FRONTIER PLAZA DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546044",
            "telephone_number": "907-373-2227",
            "fax_number": "888-357-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4641 FRONITER PLAZA DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "99654",
            "telephone_number": "907-373-2227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3341 E Palmdale Dr # 1",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996546044",
            "country_code": "US",
            "telephone_number": "907-373-2227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MANN FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2022-11-08",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "ZALANKA",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "907-903-6145"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1676113",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mann Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 8, 2022; 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.