MANIILAQ HEALTH CENTER (MANIILAQ ASSOCIATION) NPI 1003010042

Dentist in Kotzebue, AK

NPI 1003010042 Organization Dentist

About MANIILAQ HEALTH CENTER (MANIILAQ ASSOCIATION)

Maniilaq Health Center (maniilaq Association) is a provider established in Kotzebue, Alaska specializing in dentist. The NPI number of Maniilaq Health Center (maniilaq Association) is 1003010042 and was assigned on June 2007. The practitioner's primary taxonomy code is 122300000X with license number 234051 (AK). The provider is registered as an organization and their NPI record was last updated one year ago. Maniilaq Health Center (maniilaq Association) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Maniilaq Health Center. The authorized official of this NPI record is Paul Hanson (Medical Staff Services)

A dentist like Maniilaq Health Center is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

NPI

1003010042

Provider NameMANIILAQ HEALTH CENTER (MANIILAQ ASSOCIATION)
Provider Location Address436 5TH & TED STEVENS WAY KOTZEBUE, AK 99752
Provider Mailing AddressPO BOX 43 KOTZEBUE, AK 99752
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameMANIILAQ HEALTH CENTER
Other Name TypeDoing Business As (3)
Enumeration Date06-13-2007
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code122300000X
ClassificationDentist
TypeDental Providers
License No.234051
License StateAK
Taxonomy DescriptionA 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.

Business Address

MANIILAQ HEALTH CENTER
436 5TH & TED STEVENS WAY
KOTZEBUE, AK
ZIP 99752
Phone: (907) 442-3321
Fax: (907) 442-7250

Get Directions


Mailing Address

MANIILAQ HEALTH CENTER
PO BOX 43
KOTZEBUE, AK
ZIP 99752
Phone: (907) 442-3321
Fax: (907) 442-7250



Authorized Official

Authorized Official Name PAUL HANSON
Authorized Official TitleMEDICAL STAFF SERVICES
Authorized Official Phone(907) 442-3321

Group Taxonomy


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

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
DDG111MEDICAID (05)AK

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1992789002 ROBERT PERCHIK MD
Individual
Emergency Medicine436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752
(907) 442-3321
1538148051MRS. LORRI CHERIE PALM PA-C
Individual
Physician Assistant436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752
(907) 442-3321
1316995210MANIILAQ ASSOCIATION
Organization
General Acute Care Hospital (Critical Access)436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752
(907) 442-3321
1427093772 MORGAN D JONES BSN
Individual
Advanced Practice Midwife436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752
(907) 442-7148
1659301505DR. MARK ROBERT KLINKER M.D.
Individual
Internal Medicine436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752
(907) 442-3321
1811906423 MELISSA CATHERINE STATHAM FNP
Individual
Nurse Practitioner (Family)436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752
(907) 442-3321
1831205665 JULIE DIANE MUELLER PA-C
Individual
Physician Assistant436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752
(907) 442-3321
1770675738DR. KIMBERLY MARIE DOUGLAS M.D.
Individual
Family Medicine436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752
(907) 442-3321
1245316231MS. MARY ANGELA MALONEY CNM
Individual
Advanced Practice Midwife436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752
(907) 442-3321
1316002959MS. CATE PHILLIPS RN CNM
Individual
Advanced Practice Midwife436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752
(907) 442-3321
1891812764 YOLANDA A MEZA CNM
Individual
Advanced Practice Midwife436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752
(907) 442-3321
1447378179 ELONA TURK PAC
Individual
Physician Assistant436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752
(907) 442-3321
1417075136 WINIFRED A REEVE ANP
Individual
Nurse Practitioner436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752
(907) 442-7148
1144349051DR. JAMES MICHAEL FARRINGTON MD
Individual
Family Medicine436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752
(907) 442-7148
1770602674DR. SHARON B CURTIS MD
Individual
Family Medicine436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752
(907) 442-7148
1679791594 ELIZABETH L SORENSEN
Individual
Physical Therapist436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752
(907) 442-7148
1922218478MANIILAQ ASSOCIATION
Organization
General Acute Care Hospital (Rural)436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752
(907) 442-3321
1861698805MANIILAQ ASSOCIATION
Organization
General Acute Care Hospital (Rural)436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752
(907) 442-3321
1689870404 SHELLY REEVE CNA
Individual
Nurse's Aide436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752
(907) 442-7148
1619167335 KOHHEI NAKAGAWA
Individual
Family Medicine436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752
(907) 442-3321

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.