FAMILY DENTISTRY OF KODIAK
NPI 1093213167
Clinic/Center - Dental in Kodiak, AK

Q: What is Kodiak Area Native Association's NPI number?

The NPI number for Kodiak Area Native Association is 1093213167. It was assigned to this organization in the NPPES registry on January 24, 2018.

Q: What is Kodiak Area Native Association's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since January 24, 2018CLIA 02D2136079 · Microscopy

1317 MILL BAY RD, KODIAK, AK 99615(907) 486-3291(907) 486-9896 Get Directions Write a Review

NPPES record last updated: January 24, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Family Dentistry Of Kodiak NPPES

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

FAMILY DENTISTRY OF KODIAK (NPI 1093213167) is a healthcare organization registered as a dental in Kodiak, Alaska and active in the NPI registry since January 2018. The organization holds a CLIA Microscopy certificate valid through August 31, 2027 and lists Michael Pfeffer, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1093213167

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameKODIAK AREA NATIVE ASSOCIATION

Location Address1317 MILL BAY RDKodiak, AK 99615-6411

Mailing Address3449 E Rezanof DrKodiak, AK 99615-6952 · (907) 486-9880 · Fax (907) 486-9896

Phone(907) 486-3291

Fax(907) 486-9896

Organization SubpartYes

Authorized OfficialMichael PfefferChief Operating Officer · (907) 486-9800

Enumeration DateJanuary 24, 2018

✔ NPI 1093213167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

1317 MILL BAY RD, Kodiak, AK 99615

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Other Names 1

Other NameFamily Dentistry Of Kodiak

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, UnitedHealthcare.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 for Provider-Performed Microscopy Procedures (PPMP) 02D2136079

Kodiak Area Native Association Mill Bay Health Center · Kodiak, AK

Active · expires Aug 31, 2027

CLIA Number02D2136079

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateSeptember 1, 2025

Certificate Expiration DateAugust 31, 2027

Laboratory DirectorDr. Evan Jones

Laboratory Phone(907) 486-9800

Laboratory LocationKodiak Area Native Association Mill Bay Health Center2414 Mill Bay Road, Kodiak, AK 99615

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

DR. BRETT ALAN BASS DDS, PC

Dentist (General Practice)

1317 MILL BAY RD
KODIAK, AK 99615

Kodiak Island Borough (907) 486-3291

BRETT A. BASS, DDS PC

Clinic/Center (Dental)

1317 MILL BAY RD
KODIAK, AK 99615

Kodiak Island Borough (907) 486-3291

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 Kodiak Area Native Association's NPI number?

The NPI number for Kodiak Area Native Association is 1093213167. It was assigned to this organization in the NPPES registry on January 24, 2018.

Where is Kodiak Area Native Association located?

Kodiak Area Native Association is located at 1317 Mill Bay Rd, Kodiak, AK 99615. The listed phone number is (907) 486-3291.

What is Kodiak Area Native Association's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Does Kodiak Area Native Association hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 02D2136079) is associated with this NPI, valid through August 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kodiak Area Native Association accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and UnitedHealthcare list Kodiak Area Native 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 Kodiak Area Native Association was last updated on January 24, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.