Kids Dental Tree LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

KIDS DENTAL TREE LLC

Practice address

1310 E Dimond Blvd Ste 3
Anchorage, AK 99515-2031

Phone

(907) 336-7337

Fax

(907) 336-7338

NPI assigned

Feb 18, 2010

Last updated

Feb 18, 2010By 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

Dr. Mark Keller, DDSNPI 1588858260

Title

President

Phone

(907) 336-7337

Specialties & licenses 1

Addresses

Locations

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.

• Mark Edward Keller, DDS

  • Pediatric Dentistry
  • Anchorage, AK
  • NPI 1588858260
  Authorized official Same address or phone

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1932421849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 E DIMOND BLVD STE 3",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152031",
            "telephone_number": "907-336-7337",
            "fax_number": "907-336-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 E DIMOND BLVD STE 3",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152031",
            "telephone_number": "907-336-7337",
            "fax_number": "907-336-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS DENTAL TREE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-336-7337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KHS Management LLC
• Sakshi Khurana, M.A., ED.M.
• Kidney and Hypertension Clinic of Alaska LLC
• Kidney and Hypertension Clinic of Alaska, Inc
• Kids Are People Too LLC
• Kids First Pediatric Therapy
• Kidsmile, LLC
• Joshua Kieck
• Royal Pearson Kiehl, M.D.
• Jan Eric Kiele, MD

• Pediatric Dentistry in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Pediatric Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.