DR. OREST MYCHAJLO HARKACZ SR. (NPI# 1699764670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699764670 |
Entity Type | Individual |
Full Name | DR. OREST MYCHAJLO HARKACZ SR. |
Credential | DDS |
Practice Address |
4001 Lake Otis Pkwy Suite 202 Anchorage AK 99508-5211 |
Mailing Address |
Po Box 672412 Chugiak AK 99567-2412 |
Practice Telephone | 9073349995 |
Practice Fax Number | 9073349951 |
Mailing Telephone | 9076882517 |
Enumeration Date | 2005-10-20 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
1149 | AK | Dental Providers |
Street Address |
4001 LAKE OTIS PKWY SUITE 202 |
City | ANCHORAGE |
State | AK |
Zip Code | 99508-5211 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003269408 | Justin Erickson | Dentist | 4001 Lake Otis Pkwy, #200, Anchorage, AK 99508-5200 | 2016-07-20 |
1962896746 | Sean Walsh | Physician Assistant | 4001 Lake Otis Pkwy, Suite 206, Anchorage, AK 99508-5200 | 2015-03-19 |
1285025270 | Shawna Cooke | Registered Nurse | 4001 Lake Otis Pkwy, Anchorage, AK 99508-5200 | 2015-02-11 |
1992126486 | Matthew Paige Dds & Jason M Bressler Dds-anchorage, LLC | Dentist | 4001 Lake Otis Pkwy, #200, Anchorage, AK 99508-5200 | 2013-12-30 |
1639416001 | Foothills Dentistry Alaska, LLC | Dentist | 4001 Lake Otis Pkwy, Suite 100, Anchorage, AK 99508-5200 | 2013-01-05 |
1669613899 | Planned Parenthood of Alaska | Clinic/Center | 4001 Lake Otis Pkwy, Anchorage, AK 99508-5200 | 2009-03-18 |
1851573331 | Dimond Medical Clinic, LLC | Family Medicine | 4001 Lake Otis Pkwy, #100, Anchorage, AK 99508-5211 | 2007-11-27 |
1548386410 | Planned Parenthood of Alaska | Clinic/Center | 4001 Lake Otis Pkwy, Anchorage, AK 99508-5211 | 2007-03-22 |
1104959915 | Planned Parenthood of Alaska | Clinic/Center | 4001 Lake Otis Pkwy, Anchorage, AK 99508-5211 | 2007-03-13 |
1629100961 | Planned Parerthood of Alaska | Clinic/Center | 4001 Lake Otis Pkwy, Anchorage, AK 99508-5211 | 2007-03-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
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Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316339526 | Matthew Mauger | Dentist | 4001 Lake Otis Pkwy Ste 202, Anchorage, AK 99508 | 2015-02-25 |
1497195119 | Jess T Ellis Dds, Ms, Inc | Dentist | 11741 Barr Rd, Anchorage, AK 99516-2164 | 2013-06-26 |
1740430586 | Jess Taylor Ellis | Dentist | 800 E Dimond Blvd Ste 3-600, Anchorage, AK 99515-2045 | 2008-09-29 |
1477765394 | Douglas J. Luiten, D.m.d., P.C. | Dentist | 4001 Laurel Street, Suite 208, Anchorage, AK 99508 | 2007-05-04 |
1780805838 | Heather R Sulte | Dentist | 2000 Abbott Road, Suite 100, Anchorage, AK 99507 | 2007-05-02 |
1265437321 | Richard A. Siry | Dentist | 2702 Denali St, Ste 200, Anchorage, AK 99503-2747 | 2005-06-16 |
1649713074 | Darin Anderson, LLC | Dentist | 800 E Dimond Blvd Ste 3-600, Anchorage, AK 99515-2045 | 2016-12-03 |
1952521346 | Douglas J Luiten | Dentist | 4001 Laurel St, Suite 208, Anchorage, AK 99508-5332 | 2007-04-26 |
1326103383 | Michael J. Mauger | Dentist | 4001 Lake Otis Pkwy, Suite 202, Anchorage, AK 99508-5211 | 2006-12-27 |
1477618445 | Michael L Mark | Dentist | 4001 Lake Otis Pkwy, Suite 202, Anchorage, AK 99508-5211 | 2006-12-27 |
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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.