Active NPI
The Delta Dentist, PC
- Dental Clinic/Center
- Delta Junction, AK
National Provider Identifier
1053712588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 815
- Legal business name
- THE DELTA DENTIST, PC
- Practice address
- 266 Richardson Hwy
Delta Junction, AK 99737-9800 - Phone
- (907) 895-2200
- NPI assigned
- Sep 16, 2014
- Last updated
- Jul 4, 2016
- 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. Bradley Oliver, DMD
- Title
- Owner
- Phone
- (907) 895-2200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 815 | AK | Primary |
Addresses
Primary practice location
266 Richardson Hwy
Delta Junction, AK 99737-9800
Mailing address
PO Box 1269
Delta Junction, AK 99737-1269
Phone (907) 895-2200
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Student in an Organized Health Care Education/Training Program
- Delta Junction, AK
- NPI 1356046270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1467590400000",
"number": "1053712588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1269",
"city": "DELTA JUNCTION",
"state": "AK",
"postal_code": "997371269",
"telephone_number": "907-895-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "266 RICHARDSON HWY",
"city": "DELTA JUNCTION",
"state": "AK",
"postal_code": "997379800",
"telephone_number": "907-895-2200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE DELTA DENTIST, PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-16",
"last_updated": "2016-07-04",
"status": "A",
"authorized_official_last_name": "OLIVER",
"authorized_official_first_name": "BRADLEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "907-895-2200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "AK",
"license": "815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delta Junction, AK
- Raymond E. Andreassen (Family Medical Center)
- Hellen Grace Elain Schwartz, EXECUTIVE DIRECTOR
- Kent Steele, PA-C
- Douglas Jordan Stossmeister
- Teejuh Behavioral Health & Counseling
- Claudia Ann Vecchiarelli
- Sandra Lee Weeks, ANP
- Whitestone Community Association
- Whitestone Enterprises (Whitestone Midwifery)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.