Individual provider Active NPI

David Lynn Maisey, DDS

  • Dentist
  • Anchorage, AK
National Provider Identifier
1003147273
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1053 Issued in AK
Practice address
3401 Denali St
Ste. 102
Anchorage, AK 99503-4001
Phone
(907) 561-1317
NPI assigned
Jan 27, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1053 AK Primary

Addresses

Primary practice location

3401 Denali St
Ste. 102
Anchorage, AK 99503-4001

Mailing address

3401 Denali St
Ste. 102
Anchorage, AK 99503-4001
Phone (907) 561-1317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200618002216 AK Order and Referring Only - DentistPractitioner - Dentist 6800218926

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Denali Family Dental Center Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1003147273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 DENALI ST",
            "address_2": "STE. 102",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034001",
            "telephone_number": "907-561-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 DENALI ST",
            "address_2": "STE. 102",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034001",
            "telephone_number": "907-561-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAISEY",
        "first_name": "DAVID",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "1053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.