Sun Mountain Dental Care LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SUN MOUNTAIN DENTAL CARE LLC

Doing business as

Sun Mountain Dental Care LLC

Practice address

2101 E Sun Mountain Ave #107
Wasilla, AK 99654-9965

Phone

(907) 357-5757

NPI assigned

Mar 19, 2021

Last updated

May 4, 2021By 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

Todd Christensen, DDSNPI 1700091832

Title

Owner/Manager

Phone

(907) 441-4569

Specialties & licenses 1

Addresses

Other names 1

• Sun Mountain Dental Care LLC Doing business as

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.

• Todd S Christensen, DDS

  • Dentist
  • Wasilla, AK
  • NPI 1700091832
  NPD Authorized official

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1952987000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5018 E 41 N",
            "city": "RIRIE",
            "state": "ID",
            "postal_code": "834435038",
            "telephone_number": "907-441-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 E SUN MOUNTAIN AVE #107",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996549965",
            "telephone_number": "907-357-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN MOUNTAIN DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "907-441-4569",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun Mountain Dental Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carmen M Sugai, MD
• Rachel Summerlin, LMT
• Teyonnah Sueann Summerour
• Summit Oral Surgery LLC
• Summit Therapeutics LLC
• Marcie Sundly
• Sunflower Doula Service
• Sunrise Assisted Living
• Sunrise House Assisted Living Home II (Sunrise House)
• Sunshine Community Health Center, Inc

• Dental Clinic/Center in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Dental Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.