Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Odyssey Family Practice

Q: What is the NPI number for Odyssey Family Practice?

The NPI for Odyssey Family Practice is 1780142042, a Type 2 (organization) record in the CMS NPPES registry.

Family Medicine Physician in Kenai, AK · enumerated 2019 · authorized official Jared Wallace, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1780142042

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Registry record

Entity type Organization (Type 2)

Legal business name Odyssey Family Practice

Practice address 11595 Kenai Spur Highway, Kenai, AK, 99611

Phone (907) 313-4569

Fax (907) 313-4939

Enumeration date Mar 6, 2019

Last updated in NPPES Dec 1, 2025

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

261QX0100X Occupational Medicine Clinic/Center Ambulatory Health Care Facilities Secondary

291U00000X Clinical Medical Laboratory Laboratories Secondary

Authorized official

Name Jared Wallace

Title Owner

Phone (907) 313-4569

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Odyssey Family Practice?

The NPI for Odyssey Family Practice is 1780142042, a Type 2 (organization) record in the CMS NPPES registry.

Who is the authorized official for Odyssey Family Practice?

NPPES lists Jared Wallace (Owner) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-12-01.