MANIILAQ HEALTH CENTER (MANIILAQ ASSOCIATION) NPI 1003010042
Dentist in Kotzebue, AK
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 Name | MANIILAQ HEALTH CENTER (MANIILAQ ASSOCIATION) |
| Provider Location Address | 436 5TH & TED STEVENS WAY KOTZEBUE, AK 99752 |
| Provider Mailing Address | PO BOX 43 KOTZEBUE, AK 99752 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Other Organization Name | MANIILAQ HEALTH CENTER |
| Other Name Type | Doing Business As (3) |
| Enumeration Date | 06-13-2007 |
| Last Update Date | 08-22-2020 |
Primary Taxonomy
| Taxonomy Code | 122300000X |
| Classification | Dentist |
| Type | Dental Providers |
| License No. | 234051 |
| License State | AK |
| Taxonomy Description | 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. |
Business Address
MANIILAQ HEALTH CENTER
436 5TH & TED STEVENS WAY
KOTZEBUE, AK
ZIP 99752
Phone: (907) 442-3321
Fax: (907) 442-7250
Mailing Address
MANIILAQ HEALTH CENTER
PO BOX 43
KOTZEBUE, AK
ZIP 99752
Phone: (907) 442-3321
Fax: (907) 442-7250
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 |
|---|---|---|
| DDG111 | MEDICAID (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 Medicine | 436 5TH & TED STEVENS WAY KOTZEBUE, AK 99752 (907) 442-3321 |
| 1538148051 | MRS. LORRI CHERIE PALM PA-C Individual | Physician Assistant | 436 5TH & TED STEVENS WAY KOTZEBUE, AK 99752 (907) 442-3321 |
| 1316995210 | MANIILAQ 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 Midwife | 436 5TH & TED STEVENS WAY KOTZEBUE, AK 99752 (907) 442-7148 |
| 1659301505 | DR. MARK ROBERT KLINKER M.D. Individual | Internal Medicine | 436 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 Assistant | 436 5TH & TED STEVENS WAY KOTZEBUE, AK 99752 (907) 442-3321 |
| 1770675738 | DR. KIMBERLY MARIE DOUGLAS M.D. Individual | Family Medicine | 436 5TH & TED STEVENS WAY KOTZEBUE, AK 99752 (907) 442-3321 |
| 1245316231 | MS. MARY ANGELA MALONEY CNM Individual | Advanced Practice Midwife | 436 5TH & TED STEVENS WAY KOTZEBUE, AK 99752 (907) 442-3321 |
| 1316002959 | MS. CATE PHILLIPS RN CNM Individual | Advanced Practice Midwife | 436 5TH & TED STEVENS WAY KOTZEBUE, AK 99752 (907) 442-3321 |
| 1891812764 | YOLANDA A MEZA CNM Individual | Advanced Practice Midwife | 436 5TH & TED STEVENS WAY KOTZEBUE, AK 99752 (907) 442-3321 |
| 1447378179 | ELONA TURK PAC Individual | Physician Assistant | 436 5TH & TED STEVENS WAY KOTZEBUE, AK 99752 (907) 442-3321 |
| 1417075136 | WINIFRED A REEVE ANP Individual | Nurse Practitioner | 436 5TH & TED STEVENS WAY KOTZEBUE, AK 99752 (907) 442-7148 |
| 1144349051 | DR. JAMES MICHAEL FARRINGTON MD Individual | Family Medicine | 436 5TH & TED STEVENS WAY KOTZEBUE, AK 99752 (907) 442-7148 |
| 1770602674 | DR. SHARON B CURTIS MD Individual | Family Medicine | 436 5TH & TED STEVENS WAY KOTZEBUE, AK 99752 (907) 442-7148 |
| 1679791594 | ELIZABETH L SORENSEN Individual | Physical Therapist | 436 5TH & TED STEVENS WAY KOTZEBUE, AK 99752 (907) 442-7148 |
| 1922218478 | MANIILAQ ASSOCIATION Organization | General Acute Care Hospital (Rural) | 436 5TH & TED STEVENS WAY KOTZEBUE, AK 99752 (907) 442-3321 |
| 1861698805 | MANIILAQ 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 Aide | 436 5TH & TED STEVENS WAY KOTZEBUE, AK 99752 (907) 442-7148 |
| 1619167335 | KOHHEI NAKAGAWA Individual | Family Medicine | 436 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.