Organization Active NPI

Kidsmile, LLC

  • Pediatric Dentistry
  • Anchorage, AK
National Provider Identifier
1881812824
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
281107 Issued in AK
Legal business name
KIDSMILE, LLC
Practice address
625 E 34TH Ave
Suite 302
Anchorage, AK 99503-4117
Phone
(907) 272-1144
Fax
(907) 272-1178
NPI assigned
Apr 23, 2007
Last updated
Dec 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Dr. Marie J English, DDS, MSNPI 1437333804
Title
Owner
Phone
(907) 272-1144

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
Pediatric Dentistry 1223P0221X 281107 AK Primary

Addresses

Primary practice location

625 E 34TH Ave
Suite 302
Anchorage, AK 99503-4117

Mailing address

625 E 34TH Ave
Suite 302
Anchorage, AK 99503-4117
Phone (907) 272-1144

Other identifiers 1

IdentifierTypeStateIssuer
DD10694MedicaidAK

National Provider Directory

National Provider Directory

Locations

625 E 34th Ave
Ste 302
Anchorage, AK 99503
Phone (907) 272-1144

Practitioners & affiliated clinicians

Practitioners 1

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": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1881812824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E 34TH AVE",
            "address_2": "SUITE 302",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034117",
            "telephone_number": "907-272-1144",
            "fax_number": "907-272-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E 34TH AVE",
            "address_2": "SUITE 302",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034117",
            "telephone_number": "907-272-1144",
            "fax_number": "907-272-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSMILE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "ENGLISH",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-272-1144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AK",
            "license": "281107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DD10694",
            "state": "AK"
        }
    ],
    "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 Dec 5, 2007; 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.