KELLY MAIXNER DMD LLC DBA WEE CARE PEDIATRIC DENTISTRY (NPI# 1831677814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831677814 |
| Entity Type | Organization |
| Organization Name | KELLY MAIXNER DMD LLC DBA WEE CARE PEDIATRIC DENTISTRY |
| Practice Address |
1001 E Usa Cir Ste B Wasilla AK 99654-7198 |
| Practice Telephone | 9073736000 |
| Practice Fax Number | 9073576878 |
| Mailing Telephone | 9073736000 |
| Mailing Fax Number | 9073576878 |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-08-01 |
| Authorized Official Name | MISTI FORREST (MANAGER) |
| Authorized Official Telephone | 9073736000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
1248 | AK | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1003575 | 05 |
| Street Address |
1001 E USA CIR STE 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 | 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 |
|---|---|---|---|---|
| 1093326308 | Molar Bear Pediatric Dentistry LLC | Dentist | 609 S Knik Goose Bay Rd Ste D, Wasilla, AK 99654-8079 | 2020-08-11 |
| 1992822811 | Roger Duane Beck | Dentist | 3470 E Meridian Park Loop, Wasilla, AK 99654-7294 | 2007-03-24 |
| 1821356262 | Anne Marie Ziegler | Dentist | 3470 E Meridian Park Loop, Wasilla, AK 99654-7294 | 2012-04-23 |
| 1568616548 | Pediatric Dentistry of Alaska | Dentist | 3470 E Meridian Park Loop, Wasilla, AK 99654 | 2008-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083213128 | Bitesize Pediatric Dentistry, LLC | Dentist | 44539 Sterling Hwy Ste 208, Soldotna, AK 99669-7960 | 2020-10-20 |
| 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 |
| 1487171088 | Acd, LLC | Dentist | 3340 Providence Dr., Suite 552, Anchorage, AK 99508 | 2017-08-24 |
| 1447619853 | Dr. K's Pediatric Dentistry | Dentist | 1050 S Cobb St Unit A, Palmer, AK 99645-6916 | 2016-02-12 |
| 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 |
| 1437333804 | Marie J English | Dentist | 625 E 34th Ave Ste 302, Anchorage, AK 99503-4154 | 2007-12-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KELLY MAIXNER DMD LLC DBA WEE CARE PEDIATRIC DENTISTRY.
| 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.