NPIMap

Organization Active NPI

Palmer Dental Center, Inc.

  • General Practice Dentistry
  • Palmer, AK
National Provider Identifier
1902978091
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
865 Issued in AK
Legal business name
PALMER DENTAL CENTER, INC.
Practice address
561 S Denali St
Suite B
Palmer, AK 99645-6439
Phone
(907) 745-8122
Fax
(907) 745-8120
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Paula Aho
Title
Office Manager
Phone
(907) 745-8122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 865 AK Primary

Addresses

Primary practice location

561 S Denali St
Suite B
Palmer, AK 99645-6439

Mailing address

561 S Denali St
Suite B
Palmer, AK 99645-6439
Phone (907) 745-8122

National Provider Directory

National Provider Directory

Locations

561 S Denali St
Ste B
Palmer, AK 99645
Phone (907) 745-8122

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1902978091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 S DENALI ST",
            "address_2": "SUITE B",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456439",
            "telephone_number": "907-745-8122",
            "fax_number": "907-745-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 S DENALI ST",
            "address_2": "SUITE B",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456439",
            "telephone_number": "907-745-8122",
            "fax_number": "907-745-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMER DENTAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "AHO",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "907-745-8122"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.