NPIMap

Organization Active NPI

Alaska Endodontic Specialists LLC

  • Endodontics
  • Anchorage, AK
National Provider Identifier
1801951884
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
290934 Issued in AK
Legal business name
ALASKA ENDODONTIC SPECIALISTS LLC
Practice address
4001 Lake Otis Pkwy
Suite 202
Anchorage, AK 99508-5211
Phone
(907) 334-9995
Fax
(907) 334-9951
NPI assigned
Dec 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael J Mauger, DMDNPI 1326103383
Title
Partner
Phone
(907) 334-9995

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
Endodontics 1223E0200X 290934 AK Primary

Addresses

Primary practice location

4001 Lake Otis Pkwy
Suite 202
Anchorage, AK 99508-5211

Mailing address

4001 Lake Otis Pkwy
Suite 202
Anchorage, AK 99508-5211
Phone (907) 334-9995

National Provider Directory

National Provider Directory

Locations

4001 Lake Otis Pkwy
Ste 202
Anchorage, AK 99508
Phone (907) 334-9995

Practitioners & affiliated clinicians

Practitioners 4

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": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801951884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 LAKE OTIS PKWY",
            "address_2": "SUITE 202",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085211",
            "telephone_number": "907-334-9995",
            "fax_number": "907-334-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 LAKE OTIS PKWY",
            "address_2": "SUITE 202",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085211",
            "telephone_number": "907-334-9995",
            "fax_number": "907-334-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA ENDODONTIC SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAUGER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "907-334-9995",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AK",
            "license": "290934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.