LARA M. MABRY DDS
NPI 1780737395
Dentist in Anchorage, AK

Active since January 18, 2007Opted out of Medicare · through Jan 4, 2027
2601 BONIFACE PKWY, ANCHORAGE, AK 99504(907) 337-9448(907) 337-4123 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lara M. Mabry Dds NPPES

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

LARA M. MABRY DDS (NPI 1780737395) is an individual dentist in Anchorage, Alaska, licensed in Alaska (1200) and active in the NPI registry since January 2007. She has opted out of Medicare through January 4, 2027.

NPPES Registry Identity

NPI1780737395
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameLARA M. MABRYCredential: DDS
Location Address2601 BONIFACE PKWYAnchorage, AK 99504-3106
Mailing Address2601 Boniface PkwyAnchorage, AK 99504-3106 · (907) 337-9448 · Fax (907) 337-4123
Fax(907) 337-4123
Sole ProprietorYes
Enumeration DateJanuary 18, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1780737395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in AK · 1200
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.
2601 BONIFACE PKWY, Anchorage, AK 99504

Other Identifiers 1

MedicaidDD2601AK

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Lara M. Mabry Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 4, 2023 through January 4, 2027.

Opt-Out Effective DateJanuary 4, 2023
Opt-Out In Effect ThroughJanuary 4, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

Dentist (General Practice)
2601 BONIFACE PKWY
ANCHORAGE, AK 99504
Dentist
2601 BONIFACE PKWY, SUITE 1
ANCHORAGE, AK 99504
Dentist (General Practice)
2601 BONIFACE PKWY
ANCHORAGE, AK 99504
Dentist
2601 BONIFACE PKWY, SUITE 3
ANCHORAGE, AK 99504
Dentist (General Practice)
2601 BONIFACE PKWY
ANCHORAGE, AK 99504
Dentist
2601 BONIFACE PKWY, SUITE 2
ANCHORAGE, AK 99504

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 Lara Mabry's NPI number?

The NPI number for Lara Mabry is 1780737395. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Lara Mabry located?

Lara Mabry practices at 2601 Boniface Pkwy, Anchorage, AK 99504. The listed phone number is (907) 337-9448.

What is Lara Mabry's specialty?

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

Is Lara Mabry enrolled in Medicare?

No. Lara Mabry has opted out of Medicare through January 4, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Lara Mabry accept?

Health plans from Delta Dental of Alaska, Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Lara Mabry 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 Lara Mabry was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.