Chun Piu Man, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CHUN PIU MAN, INC.

Doing business as

Eagle River Smiles

Practice address

11431 Business Blvd., Ste
Eagle River, AK 99577-7754

Phone

(907) 696-2875

Fax

(907) 333-3390

NPI assigned

Oct 4, 2017

Last updated

Jan 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chun Piu Man, DDSNPI 1740685478

Title

President

Phone

(907) 693-2875

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Eagle River Smiles Doing business as

Locations

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.

• Chun Piu Man, D.D.S

  • Dentist
  • Anchorage, AK
  • NPI 1740685478
  Authorized official Same address or phone
• Bryan J Enghirst, DDS

  • General Practice Dentistry
  • Eagle River, AK
  • NPI 1699950451
  NPD (past)

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1871003863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8840 OLD SEWARD HIGHWAY, #F",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152000",
            "telephone_number": "907-333-6666",
            "fax_number": "907-333-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11431 BUSINESS BLVD., STE",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777754",
            "telephone_number": "907-696-2875",
            "fax_number": "907-333-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUN PIU MAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-04",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "MAN",
        "authorized_official_first_name": "CHUN PIU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-693-2875",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "105454",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740685478",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle River Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katheryne Christian, LMT
• Alyssa Rose Christopher
• Chugach Chiropractic Clinic LLC
• Chugach Counseling & Consulting
• Chugach Eye Clinic and Optical, Inc.
• Debra Ann Cieplak, RPH
• Elizabeth Jadahi Cintron
• Angela C Clark, RN
• Brent Clark, FNP, NP-C
• Kristen Noelle Clark

• General Practice Dentistry in Eagle River, AK
• Providers in Eagle River, AK by specialty
• General Practice Dentistry in Alaska

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