Kelly M Maixner, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

1248 Issued in AK

Practice address

1001 E USA Cir
Suite B
Wasilla, AK 99654-7198

Phone

(907) 373-6000

Fax

(907) 357-6878

NPI assigned

Aug 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kelly Maixner DMD LLC Dba Wee Care Pediatric Dentistry

  • Pediatric Dentistry
  • Wasilla, AK
  • NPI 1831677814
  NPD
• Anesthesia Relief Staffing LLC

  • Certified Registered Nurse Anesthetist
  • Anchorage, AK
  • NPI 1437585833
  NPD (past)
• Hans P. Nordstrom DDS

  • Dentist
  • Wasilla, AK
  • NPI 1689816969
  NPD (past)

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1861684318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 521792",
            "city": "BIG LAKE",
            "state": "AK",
            "postal_code": "996521792",
            "telephone_number": "907-373-6000",
            "fax_number": "907-357-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E USA CIR",
            "address_2": "SUITE B",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547198",
            "telephone_number": "907-373-6000",
            "fax_number": "907-357-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIXNER",
        "first_name": "KELLY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-17",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "1248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DD5010",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Magnolia Manor Alh
• Magnolia Manor LLC
• Muriel Maher
• Charlotte Rachael Mahoy, LMT
• Josiah Maiorano
• Janelle Kay Makela
• Valerie Marie Malatesta, BCBA, M.S.
• Veronica Maldonado, LCSW
• Lonneka Shanel Mallard
• Shelana Renee Malone

• Dentist in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Dentist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.