DR. REYNALDA M DEGUZMAN (NPI# 1922218064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922218064 |
| Entity Type | Individual |
| Full Name | DR. REYNALDA M DEGUZMAN |
| Credential | M.D. |
| Practice Address |
4361 Boniface Pkwy Anchorage AK 99504-4316 |
| Practice Telephone | 9073331211 |
| Practice Fax Number | 9073338660 |
| Mailing Telephone | 9073331211 |
| Mailing Fax Number | 9073331211 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2017-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | AA1732 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MD1732 | 05 |
| Street Address |
4361 BONIFACE PKWY |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99504-4316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104996214 | Family Medical Dental Center of Alaska Inc | Dentist | 4361 Boniface Pkwy, Anchorage, AK 99504-4316 | 2006-11-08 |
| 1972150365 | Anchorage Camai Dental Clinic, LLC | Clinic/Center | 4361 Boniface Pkwy, Anchorage, AK 99504-4314 | 2019-08-21 |
| 1629495262 | Reynalda M De Guzman LLC | Clinic/Center | 4361 Boniface Pkwy, Anchorage, AK 99504-4316 | 2014-03-20 |
| 1457609083 | Family Medical Dental Center LLC | Clinic/Center | 4361 Boniface Pkwy, Anchorage, AK 99504-4316 | 2012-08-29 |
| 1891073730 | Jesse David Ostby | Dentist | 4361 Boniface Pkwy, Anchorage, AK 99504-4316 | 2011-07-26 |
| 1417109265 | Lauren Gagliano | Dentist | 4361 Boniface Pkwy, Anchorage, AK 99504-4316 | 2008-10-10 |
| 1902007636 | Danielle M Larue | Dentist | 4361 Boniface Pkwy, Anchorage, AK 99504-4316 | 2007-05-30 |
| 1417158080 | Clinton C Henrie | Dentist | 4361 Boniface Pkwy, Anchorage, AK 99504-4316 | 2007-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011593 | Deyoung Dentistry, LLC | Clinic/Center | 2601 Boniface Parkway Suite 1, Anchorage, AK 99504 | 2020-07-29 |
| 1881257475 | Tirzah Shelton | Psychologist | Veteran Affairs Clinic, 1201 North Muldoon, Anchorage, AK 99504 | 2019-04-18 |
| 1831651652 | Mekennah Ward | Massage Therapist | 7731 Northern Lights Blvd, #220, Anchorage, AK 99504 | 2019-04-01 |
| 1952883266 | Quality & Quantity Care Services LLC | Custodial Care Facility | 848 Elaine Dr, Anchorage, Ak, 99504, The Same, Anchorage, AK 99504 | 2018-09-04 |
| 1659858587 | Chloe Janelle Escalante | Psychologist | 511 Oaklahoma St., Apt 2, Anchorage, AK 99504 | 2018-07-24 |
| 1184100141 | Haa LLC | Durable Medical Equipment & Medical Supplies | 1409 Twining Dr, Anchorage, AK 99504 | 2018-07-12 |
| 1831626225 | Christian Wilfred, Thomas Garrett | Social Worker | 1201 N Mulddon Rd, Anchorage, AK 99504 | 2017-05-16 |
| 1609309954 | Rowena R Jones | Assisted Living Facility | 4009 Scenic View, Anchorage, AK 99504 | 2017-04-04 |
| 1982156733 | Agape Care Coordination LLC | Case Manager/Care Coordinator | 2050 Paxson Dr., Anchorage, AK 99504 | 2016-10-27 |
| 1649626169 | Pa Lou Vang | Registered Nurse | 7404 E 4th Ave Unit B, Anchorage, AK 99504 | 2016-05-13 |
| Find all providers in zip 99504 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801309042 | Online Care Group Alaska | General Practice | 200 W. 34th Ave, Anchorage, AK 99503 | 2017-11-09 |
| 1831580604 | Johnna L Kohl Md LLC | General Practice | 4001 Dale St Ste 201, Anchorage, AK 99508-5445 | 2015-02-13 |
| 1780072603 | Epoch - Alaska Limited Liability Company | General Practice | 3074 Mt. View Drive, Suite 193, Anchorage, AK 99501 | 2014-12-30 |
| 1356630867 | Thomas Walter Guziejewski | General Practice | 2110 E Northern Lights Blvd Ste 101, Anchorage, AK 99508-4154 | 2011-04-05 |
| 1174828008 | Jean Colesberry Persons | General Practice | 1546 Coffey Lane, Anchorage, AK 99501 | 2011-01-25 |
| 1508066820 | Brian Weston Piltz | General Practice | 1717 C St, Anchorage, AK 99507 | 2007-07-24 |
| 1316158678 | Arthur Dewey Tilgner | General Practice | 5011 Spenard Rd, Anchorage, AK 99517-3401 | 2007-05-25 |
| 1306990312 | Jean Milner Eaton | General Practice | 8700 E Klatt Rd, Anchorage, AK 99507-6343 | 2007-01-23 |
| 1134229495 | Thomas Gilman Lang | General Practice | 741 Sesame St, 1-b, Anchorage, AK 95503-6657 | 2006-09-25 |
| 1285602508 | Douglas C Smith | General Practice | 2900 Providence Dr, Anchorage, AK 99508-5756 | 2006-03-11 |
| Find all providers in ANCHORAGE | ||||
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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.