Organization Active NPI

Priebe Orthodontics, PC

  • Dentist
  • Anchorage, AK
National Provider Identifier
1043578255
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1089.131 Issued in AK
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

Updated by the provider on Apr 25, 2012

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.