ALPHA DENTURE CLINIC, INC (NPI# 1730451527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730451527 |
| Entity Type | Organization |
| Organization Name | ALPHA DENTURE CLINIC, INC |
| Practice Address |
1242 State Ave Suite G Marysville WA 98270-3672 |
| Practice Telephone | 3606580256 |
| Practice Fax Number | 3606587280 |
| Mailing Telephone | 3606580256 |
| Mailing Fax Number | 3606587280 |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-02-08 |
| Authorized Official Name | MRS. DOROTHY JENSEN (BUSINESS MGR) |
| Authorized Official Telephone | 3606580256 |
| Is Organization Subpart | Y |
| Parent Organization Name | ALPHA DENTURE CLINIC, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | DN000021 | WA | Managed Care Organizations |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | ALPHA DENTURE CLINIC, INC. | 13564 So. 179th Dr., Goodyear, AZ 85338 |
| Street Address |
1242 STATE AVE SUITE G |
| City | MARYSVILLE |
| State | WA |
| Zip Code | 98270-3672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184722449 | Annette Leigh Coates | Physical Therapist | 1242 State Ave, Ste A, Marysville, WA 98270-3672 | 2006-09-20 |
| 1124519103 | Hyun Jin You | Denturist | 1242 State Ave, Marysville, WA 98270-3672 | 2018-05-24 |
| 1508113531 | Katherine V Burdeaux | Physical Therapist | 1242 State Ave, Suite A, Marysville, WA 98270-3672 | 2012-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706631 | Amy Jean Tuengel | Massage Therapist | 4731 61st Ne, Marysville, WA 98270 | 2020-06-26 |
| 1821569534 | Andrew M Reid | Physical Therapist | Marysville Physical Therapy, 919 State Avenue Suite 101, Marysville, WA 98270 | 2018-12-07 |
| 1861989162 | Jenna Celine Schmidt | Student in an Organized Health Care Education/Training Program | Seamar Marysville Family Medicine Residency Program, 9710 State Ave, Marysville, WA 98270 | 2018-04-23 |
| 1497103162 | Kyoung Craddock | Registered Nurse | 5722 65th St Ne, Marysville, WA 98270 | 2016-06-02 |
| 1235553348 | Marysville School District | Speech-Language Pathologist | 4220 80th Street Ne, Marysville School District, Marysville, WA 98270 | 2014-02-10 |
| 1386085694 | Malgorzata Cassidy | Counselor | 4308 76th. St. Ne, Marysville, WA 98270 | 2013-07-15 |
| 1972852374 | Suzanne Leboeuf | Counselor | 1227 2nd St., Marysville, WA 98270 | 2012-08-31 |
| 1508121161 | Tricia Nicole Davis | Pharmacy Technician | 6602 74th St Ne, Marysville, WA 98270 | 2012-07-10 |
| 1962774216 | Lynae Marie Swinheart | Community/Behavioral Health | 6418 66th Pl Ne, Marysville, WA 98270 | 2012-02-02 |
| 1598042459 | Jamie Rae Isaacson | Speech-Language Pathologist | 1820 Grove St., Marysville, WA 98270 | 2011-11-07 |
| Find all providers in zip 98270 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
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| 1457723587 | A Renewal Center LLC | Exclusive Provider Organization | 401 Olympia Ave Ne Ste 318, Renton, WA 98056-4117 | 2015-10-28 |
| 1881077261 | Rosewater Healing Arts and Massage | Exclusive Provider Organization | 213 Bendigo Blvd N Ste 3, North Bend, WA 98045-8259 | 2015-07-03 |
| 1457746836 | Compassionate Counselor | Exclusive Provider Organization | 16306 126th Ave Ne, Woodinville, WA 98072-7969 | 2015-04-01 |
| 1205230489 | Mazimo Azucena Afh | Exclusive Provider Organization | 10522 19th Pl W, Everett, WA 98204-3663 | 2014-10-16 |
| 1740607936 | Personal Best Services LLC | Exclusive Provider Organization | 29222 54th Pl S, Auburn, WA 98001-2157 | 2014-03-25 |
| 1346664588 | Fullcircle | Exclusive Provider Organization | 106 Madrona Pl E, Seattle, WA 98112-5010 | 2014-02-07 |
| 1285895730 | Everett Heritage Court | Exclusive Provider Organization | 4230 Colby Ave, Everett, WA 98203-2312 | 2008-06-18 |
| Find all providers with the same taxonomy | ||||
| City | MARYSVILLE |
| Zip Code | 98270 |
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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.