NPIMap

Organization Active NPI

Btydental Group, LLC

  • Dentist
  • Anchorage, AK
National Provider Identifier
1013257690
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
984552 Issued in AK
Legal business name
BTYDENTAL GROUP, LLC
Practice address
2421 E Tudor Rd
Suite 101
Anchorage, AK 99507-1128
Phone
(907) 222-6000
Fax
(907) 677-1247
NPI assigned
Feb 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Authorized official

Name
Mr. Joshua Jeon, DDSNPI 1861698466
Title
Ceo
Phone
(907) 333-6666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 984552 AK Primary

Addresses

Primary practice location

2421 E Tudor Rd
Suite 101
Anchorage, AK 99507-1128

Mailing address

8840 Old Seward Highway #F
Anchorage, AK 99515-2000
Phone (907) 333-6666

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1013257690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8840 OLD SEWARD HIGHWAY #F",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152000",
            "telephone_number": "907-333-6666",
            "fax_number": "907-333-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 E TUDOR RD",
            "address_2": "SUITE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071128",
            "telephone_number": "907-222-6000",
            "fax_number": "907-677-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BTYDENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-19",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "JEON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "907-333-6666",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AK",
            "license": "984552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.