HANS P. NORDSTROM DDS (NPI# 1689816969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689816969 |
| Entity Type | Organization |
| Organization Name | HANS P. NORDSTROM DDS |
| Other Organization Name | NORDSTROM FAMILY DENTAL |
| Practice Address |
1001 E. Usa Circle Suite B Wasilla AK 99654-7198 |
| Practice Telephone | 9073576800 |
| Mailing Telephone | 9073576800 |
| Mailing Fax Number | 9073576878 |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |
| Authorized Official Name | HANS P NORDSTROM (OWNER) |
| Authorized Official Telephone | 9073576800 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 1135 | AK | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED CONCORDIA | 01634756 | 01 | |
| AK | DD53521 | 05 |
| Other Name | Type Code |
|---|---|
| Nordstrom Family Dental | Doing Business As Name - Organization |
| Street Address |
1001 E. USA CIRCLE SUITE B |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-7198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| 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 |
|---|---|---|---|---|
| 1477041721 | Sameer Kapil, Dmd, LLC | Dentist | 951 E Bogard Rd Ste 203, Wasilla, AK 99654-7176 | 2018-04-23 |
| 1932582327 | Jason Lane | Dentist | 1301 E Palmer Wasilla Hwy Ste 600, Wasilla, AK 99654-7256 | 2015-07-02 |
| 1396155131 | Justin Coffman | Dentist | 351 W Swanson Ave Ste 1, Wasilla, AK 99654-6853 | 2014-05-01 |
| 1437419447 | Valley Dental Clinic | Dentist | 935 E Westpoint Dr Ste 201, Wasilla, AK 99654-7181 | 2012-05-23 |
| 1134370364 | Jerry William Chernik | Dentist | 950 Bogard Rd., Suite #225, Wasilla, AK 99654 | 2008-10-07 |
| 1205010246 | David Mark Prator Sr. | Dentist | 4501 E Snider Drive, Wasilla, AK 99654 | 2007-12-27 |
| 1598958324 | Drue Pickens | Dentist | 1551 W. Parks Hwy, Aesthetic Family Dentistry, Wasilla, AK 99654 | 2007-08-24 |
| 1871701458 | Scott A Methven | Dentist | 1551 W Parks Hwy, Aesthetic Family Dentistry, Wasilla, AK 99654 | 2007-05-18 |
| 1093920431 | Advanced Family Dentistry | Dentist | 1401 South Seward Meridian Parkway, Suite E, Wasilla, AK 99654 | 2007-05-11 |
| 1134272768 | Ben T. Kolean | Dentist | 851 E Westpoint Dr Ste 112, Wasilla, AK 99654-7183 | 2007-01-18 |
| Find all providers in WASILLA | ||||
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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.