Active NPI
Priebe Orthodontics, PC
- Dentist
- Anchorage, AK
National Provider Identifier
1043578255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1089.131
- Legal business name
- PRIEBE ORTHODONTICS, PC
- Practice address
- 10998 O'Malley Centre Drive
Suite a
Anchorage, AK 99515-3069 - Phone
- (907) 563-2828
- NPI assigned
- Apr 25, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Derek N Priebe, DDS
- Title
- Orthodontist/Owner
- Phone
- (907) 563-2828
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1089.131 | AK | Primary |
Addresses
Primary practice location
10998 O'Malley Centre Drive
Suite a
Anchorage, AK 99515-3069
Mailing address
10998 O'Malley Centre Drive
Suite a
Anchorage, AK 99515-3069
Phone (907) 563-2828
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335312000000",
"number": "1043578255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10998 O'MALLEY CENTRE DRIVE",
"address_2": "SUITE A",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995153069",
"telephone_number": "907-563-2828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10998 O'MALLEY CENTRE DRIVE",
"address_2": "SUITE A",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995153069",
"telephone_number": "907-563-2828"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIEBE ORTHODONTICS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-25",
"last_updated": "2012-04-25",
"status": "A",
"authorized_official_last_name": "PRIEBE",
"authorized_official_first_name": "DEREK",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "ORTHODONTIST/OWNER",
"authorized_official_telephone_number": "907-563-2828",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "AK",
"license": "1089.131",
"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 Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.