LINSENMAYER DENTISTRY, LLC (NPI# 1093945131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093945131 |
| Entity Type | Organization |
| Organization Name | LINSENMAYER DENTISTRY, LLC |
| Practice Address |
21 Jefferson Way Ste 102 Ketchikan AK 99901-5951 |
| Mailing Address |
510 Ward St # 201 Seattle WA 98109-3981 |
| Practice Telephone | 9072209231 |
| Mailing Telephone | 2069201046 |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2011-10-19 |
| Authorized Official Name | DR. KRISTI LINSENMAYER (DENTIST) |
| Authorized Official Telephone | 2069201046 |
| Authorized Official Credential | DDS MPH MSD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 7075 | WA | Dental Providers |
| N | 122300000X | Dentist | 1287 | AK | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
168 | AK | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI INDIVIDUAL | 1639352560 | 01 | |
| WA | 5017983 | 05 | |
| AK | DDGO25 | 05 |
| Street Address |
21 JEFFERSON WAY STE 102 |
| City | KETCHIKAN |
| State | AK |
| Zip Code | 99901-5951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314215 | Residential Youth Care, Inc. | Community/Behavioral Health | 2442 Tongass Avenue, Ketchikan, AK 99901 | 2020-07-23 |
| 1316563026 | Residential Youth Care, Inc. | Community/Behavioral Health | 606 Hill Road, Ketchikan, AK 99901 | 2020-06-18 |
| 1043836851 | Residential Youth Care, Inc. | Community/Behavioral Health | 2514 1st Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1215553029 | Residential Youth Care, Inc. | Community/Behavioral Health | 2951 Baranof Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1174159222 | Helene Rae Simpson | Behavior Technician | 201 Deermont St, Ketchikan, AK 99901 | 2020-03-20 |
| 1003295155 | Suzanne Webb | Massage Therapist | 602 Dock St Ste 106, Ketchikan, AK 99901 | 2015-05-22 |
| 1093194342 | Kate Mortensen | Case Manager/Care Coordinator | 2690 Tongass Ave, Ketchikan, AK 99901 | 2015-05-20 |
| 1578879631 | Thomas Peter Ryan | Social Worker | 320 Bawden St. #318, Ketchikan, AK 99901 | 2010-08-27 |
| 1689820979 | Akeela Inc | Community Based Residential Treatment Facility, Mental Illness | 3050 Fifth Ave, Ketchikan, AK 99901 | 2008-08-18 |
| 1750565438 | Susan Marie Swift | Nurse Practitioner | 21 Jefferson Way, Suite 202, Psychiatry, Ketchikan, AK 99901 | 2007-12-18 |
| Find all providers in zip 99901 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205147444 | Jason W. Evison, D.d.s., P.C. | Dentist | 1621 Tongass Ave, Suite 103, Ketchikan, AK 99901-6013 | 2010-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083213128 | Bitesize Pediatric Dentistry, LLC | Dentist | 44539 Sterling Hwy Ste 208, Soldotna, AK 99669-7960 | 2020-10-20 |
| 1093326308 | Molar Bear Pediatric Dentistry LLC | Dentist | 609 S Knik Goose Bay Rd Ste D, Wasilla, AK 99654-8079 | 2020-08-11 |
| 1083251078 | Alison Walsh, LLC | Dentist | 2601 Boniface Pkwy Ste 2, Anchorage, AK 99504-3144 | 2019-12-09 |
| 1124673165 | Bitesize Pediatric Dentistry, LLC | Dentist | 9138 Arlon St Ste A2, Anchorage, AK 99507-3876 | 2019-08-06 |
| 1528541752 | Todd C Miles LLC Dba Delaney Park Dental | Dentist | 880 N St Ste 301, Anchorage, AK 99501-3276 | 2018-09-13 |
| 1831677814 | Kelly Maixner Dmd LLC Dba Wee Care Pediatric Dentistry | Dentist | 1001 E Usa Cir Ste B, Wasilla, AK 99654-7198 | 2018-08-01 |
| 1487171088 | Acd, LLC | Dentist | 3340 Providence Dr., Suite 552, Anchorage, AK 99508 | 2017-08-24 |
| 1447619853 | Dr. K's Pediatric Dentistry | Dentist | 1050 S Cobb St Unit A, Palmer, AK 99645-6916 | 2016-02-12 |
| 1730591298 | Easte Warnick | Dentist | 3818 Westminster Way, Anchorage, AK 99508-4834 | 2014-06-02 |
| 1497166565 | Kristina Rabatin | Dentist | 4705 Piper St, Unit 1, Anchorage, AK 99507-1530 | 2014-05-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.