Muldoon Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MULDOON DENTAL LLC

Practice address

322 Muldoon Rd Ste C
Anchorage, AK 99504-1500

Phone

(907) 865-8488

NPI assigned

Dec 14, 2022

Organization subpart

No

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

Authorized official

Name

Tera Niedens

Title

Accountant

Phone

(623) 289-2616

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 2

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.

• Alex Hunter Anderson, DDS

  • General Practice Dentistry
  • Anchorage, AK
  • NPI 1184318511
  NPD
• Phillip Michael Plourde, DMD

  • Dentist
  • Anchorage, AK
  • NPI 1265960298
  NPD (past)

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1811609571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34225 N 27TH DR STE 241",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850856091",
            "telephone_number": "623-289-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 MULDOON RD STE C",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041500",
            "telephone_number": "907-865-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULDOON DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "NIEDENS",
        "authorized_official_first_name": "TERA",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "623-289-2616"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Anchorage",
            "affiliation": "N",
            "address_1": "322 Muldoon Rd Ste C",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995041500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chantele Muffoletto, PHARMD
• John P Muffoletto, M.D.
• Evelyn Patricia Mujica-Larson, LPC, CRC, CDCI
• Ericka C Mulder, ANP, RN
• Muldoon ASC LLC
• Muldoon Development Partners, LLC (Tudor Dialysis)
• Matthew W Mulhern
• Mulholland Chiropractic Center, LLC
• Kevin Michael Mulholland, DC
• Janice Muliau

• Dental Clinic/Center in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Dental Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.