DR. K'S PEDIATRIC DENTISTRY (NPI# 1447619853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447619853 |
| Entity Type | Organization |
| Organization Name | DR. K'S PEDIATRIC DENTISTRY |
| Practice Address |
1050 S Cobb St Unit A Palmer AK 99645-6916 |
| Practice Telephone | 2092423439 |
| Mailing Telephone | 2092423439 |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |
| Authorized Official Name | DR. BRIAN ANTHONY KELLEHER (OWNER) |
| Authorized Official Telephone | 2092423439 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
1578 | AK | Dental Providers |
| Street Address |
1050 S COBB ST UNIT A |
| City | PALMER |
| State | AK |
| Zip Code | 99645-6916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357135 | Kasey M Flintoft | Occupational Therapist | 7200 E. Jim Cottrell Cir, Palmer, AK 99645 | 2020-05-14 |
| 1629601471 | Courtney Randol | Licensed Practical Nurse | 14405 E Pace Dr., Palmer, AK 99645 | 2020-02-20 |
| 1689213092 | Valerie Anne Delaune | Acupuncturist | 9693 N. Little Otter Dr., Palmer, AK 99645 | 2020-01-02 |
| 1003464512 | Alaskan Sunrise Behavioral Health, L.L.C. | Clinic/Center | 14460 E. Pace Dr., Palmer, AK 99645 | 2019-08-28 |
| 1548814718 | Maple Springs of Palmer Snf Holdings, LLC | Skilled Nursing Facility | 12130 E Maple Springs Way, Palmer, AK 99645 | 2019-07-26 |
| 1952868655 | Carla Beth Kelly | Physical Therapist | 7200 Jim Cottrell Circle, Palmer, AK 99645 | 2019-02-28 |
| 1366938375 | Wendy S Page | Behavior Technician | 7200 E Jim Cottrell, Wasilla, AK 99645 | 2018-07-03 |
| 1154845170 | Sarah Elizabeth Gilliland | Occupational Therapist | 7200 E Jim Cottrell Circle, Palmer, AK 99645 | 2017-08-01 |
| 1558885137 | Garland Brooks | Massage Therapist | 1934 Prospect Dr, Palmer, AK 99645 | 2017-07-26 |
| 1386165009 | Sommer Dawn Nielsen | Massage Therapist | 3566 N Mars Ave., Palmer, AK 99645 | 2017-07-03 |
| Find all providers in zip 99645 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1831408533 | James H Case Jr. | Dentist | 11000 Lipscomb St, Anchorage, AK 99516-1511 | 2010-09-28 |
| 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.