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MANIILAQ HEALTH CENTER
NPI 1003010042
Dentist in Kotzebue, AK

Active since June 13, 2007CLIA 02D0641299 · Accreditation
436 5TH & TED STEVENS WAY, KOTZEBUE, AK 99752(907) 442-3321(907) 442-7250 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maniilaq Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANIILAQ HEALTH CENTER (NPI 1003010042) is a healthcare organization registered as a dentist in Kotzebue, Alaska and active in the NPI registry since June 2007. The organization holds an CLIA Accreditation certificate valid through February 8, 2027 and lists Paul Hanson, Medical Staff Services, as its authorized official.

NPPES Registry Identity

NPI1003010042
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMANIILAQ ASSOCIATION
Location Address436 5TH & TED STEVENS WAYKotzebue, AK 99752
Mailing AddressPo Box 43Kotzebue, AK 99752-0043 · (907) 442-3321 · Fax (907) 442-7250
Phone(907) 442-3321
Fax(907) 442-7250
Organization SubpartNo
Authorized OfficialPaul HansonMedical Staff Services · (907) 442-3321
Enumeration DateJune 13, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1003010042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AK · 234051
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
436 5TH & TED STEVENS WAY, Kotzebue, AK 99752
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Other Names 1

Doing Business AsManiilaq Health Center

Other Identifiers 1

MedicaidDDG111AK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 02D0641299

Maniilaq Health Center · Kotzebue, AK
Active · expires Feb 8, 2027
CLIA Number02D0641299
Laboratory TypeHospital
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorJames J. Tiesinga
Laboratory Phone(907) 442-3321
Laboratory LocationManiilaq Health Center436 5th Avenue, Kotzebue, AK 99752
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MANIILAQ ASSOCIATION
Family Medicine
436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752
Northwest Arctic Borough (907) 442-3321
MANIILAQ ASSOCIATION
General Acute Care Hospital (Rural)
436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752
Northwest Arctic Borough (907) 442-3321
LAURA RAMOTH
Community Health Worker
436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752
Northwest Arctic Borough (907) 442-3321
LLOYD MARK MCKINNEY PA
Physician Assistant
436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752
Northwest Arctic Borough (907) 442-3321
LAWRENCE CUSTER
Community Health Worker
436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752
Northwest Arctic Borough (907) 442-3321
DR. JAMES MICHAEL FARRINGTON MD
Family Medicine
436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752
Northwest Arctic Borough (907) 442-7148
MRS. AMY JUNE CARTER COMMUNITY HEALTH AID
Community Health Worker
436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752
Northwest Arctic Borough (907) 442-3321
MS. MARY ANGELA MALONEY CNM
Advanced Practice Midwife
436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752
Northwest Arctic Borough (907) 442-3321

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maniilaq Association's NPI number?

The NPI number for Maniilaq Association is 1003010042. It was assigned to this organization in the NPPES registry on June 13, 2007. The provider is doing business as Maniilaq Health Center.

Where is Maniilaq Association located?

Maniilaq Association is located at 436 5th & Ted Stevens Way, Kotzebue, AK 99752. The listed phone number is (907) 442-3321.

What is Maniilaq Association's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Does Maniilaq Association hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 02D0641299) is associated with this NPI, valid through February 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Maniilaq Association accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Maniilaq Association as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maniilaq Association was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.