MICHAEL E COSTA (NPI# 1144252529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144252529 |
| Entity Type | Individual |
| Full Name | MICHAEL E COSTA |
| Credential | DDS |
| Practice Address |
100 Slocum Dr King Cove AK 99612 |
| Mailing Address |
3380 C St Ste 100 Anchorage AK 99503-3949 |
| Practice Telephone | 9074972311 |
| Practice Fax Number | 9074972310 |
| Mailing Telephone | 9072771440 |
| Mailing Fax Number | 9072771436 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2011-11-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | D7867 | OR | Dental Providers |
| Y | 122300000X | Dentist | 1382 | AK | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 022868 | 05 | |
| FEDERAL TAX ID | 943096772 | 01 | |
| AK | ALASKA DENTAL LICENSE | 1382 | 01 |
| OR | STATE LICENSE | D7867 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528422680 | Michael Costa | Behavioral Analyst | 1144 Langhorn St, Lancaster, CA 93535-2794 | 2016-04-05 |
| 1629183108 | Michael Thomas Costa | Chiropractor | 9945 Charlotte Hwy, Fort Mill, SC 29715-7134 | 2006-08-21 |
| 1538199005 | Michael E Costa | Acupuncturist | 9300 S Dixie Hwy, Miami, FL 33156-2935 | 2006-07-03 |
| 1598304354 | Michael A Costa | Pharmacist | 1 Hawley Ln, Stratford, CT 06614-1200 | 2019-12-26 |
| 1184278244 | Michael Costa Jr. | Physical Therapy Assistant | 1251 White Mountain Hwy, North Conway, NH 03860-5154 | 2019-07-27 |
| 1710346663 | Michael Costa | Pharmacist | 475 W Finnie Flat Rd, Camp Verde, AZ 86322-7398 | 2016-02-21 |
| 1851705834 | Michael J Costa Jr. | Dentist | 2d Denbn/ndc Psc 20130 315 Mchugh Blvd, Commanding Officer, Camp Lejeune, NC 28542-0130 | 2014-06-17 |
| 1043480551 | Michael Louis Costa | Dentist | 62 Hart Blvd, Staten Island, NY 10301-2613 | 2008-03-11 |
| 1033314653 | Michael John Costa | Pathology | 5445 Avenue O, Fort Madison, IA 52627-9611 | 2007-06-15 |
| 1619080611 | Michael Joseph Costa | Family Medicine | 11131 Journal Parkway, King George, VA 22485 | 2006-08-16 |
| Street Address |
100 SLOCUM DR |
| City | KING COVE |
| State | AK |
| Zip Code | 99612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285825596 | Sevilla Ingersoll Love | Social Worker | 100 Slocum Dr., King Cove, AK 99612 | 2007-08-05 |
| 1134696156 | Shonna Wheeler | Dental Therapist | 100 Slocum Drive, King Cove, AK 99612 | 2018-10-29 |
| 1912317207 | Christine Prokop | Counselor | 9 Main Street, King Cove, AK 99612 | 2014-05-07 |
| 1275875742 | Erik J Linduska | Dental Therapist | 100 Slocum Drive, King Cove, AK 99612 | 2013-03-22 |
| 1376839233 | Riza Zoe Bendixen | Community Health Worker | 100 Slocum Drive, King Cove, AK 99612 | 2011-06-20 |
| 1154636207 | Summer Ann Mack | Community Health Worker | 100 Slocum Drive, King Cove, AK 99612 | 2010-08-13 |
| 1235444886 | Anthony R Brown | Community Health Worker | 100 Slocum Drive, King Cove, AK 99612 | 2010-08-06 |
| 1417192410 | Joanna R. Fountain | Specialist | 100 Slocum Drive, King Cove, AK 99612 | 2008-12-05 |
| 1225281991 | Kendra Eguia | Community Health Worker | 100 Slocum Drive, King Cove, AK 99612 | 2008-10-28 |
| 1700916780 | Senta J Williams | Specialist | 100 Slocum Drive, King Cove, AK 99612 | 2007-03-07 |
| Find all providers in zip 99612 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081558 | Arne Anton Krogh | Dentist | 2665 E Tudor Rd Ste 300, Anchorage, AK 99507-1144 | 2020-10-22 |
| 1518574052 | Evergreen Dental, LLC | Dentist | 125 W Evergreen Ave Ste 204, Palmer, AK 99645-6908 | 2020-09-29 |
| 1639716574 | Todd Haskin Dmd LLC | Dentist | 360 Old Chena Pump Rd Ste A, Fairbanks, AK 99709-2936 | 2019-12-10 |
| 1821649864 | Chase A Lundin | Dentist | 4001 Lake Otis Pkwy Ste 200, Anchorage, AK 99508-5200 | 2019-09-20 |
| 1992358261 | Shaun Mcnees | Dentist | 2805 Dawson St Ste 101, Anchorage, AK 99503-3800 | 2019-07-16 |
| 1194281725 | South Gate Cosmetic & Implant Dentistry LLC | Dentist | 12570 Old Seward Hwy Ste 201, Anchorage, AK 99515-3532 | 2019-02-19 |
| 1124593769 | Luff Orthodontics Partnership LLC | Dentist | 3708 Rhone Circle, Anchorage, AK 99508 | 2018-10-10 |
| 1457835167 | Motuuf, LLC. | Dentist | 3401 Denali St Ste 201, Anchorage, AK 99503-4001 | 2018-09-18 |
| 1609356310 | Iris Ohsie | Dentist | 1921 W Dimond Blvd Ste 101, Anchorage, AK 99515-1465 | 2018-08-21 |
| 1477041721 | Sameer Kapil, Dmd, LLC | Dentist | 951 E Bogard Rd Ste 203, Wasilla, AK 99654-7176 | 2018-04-23 |
| 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.