Duclos Ortho Anchorage

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

DUCLOS ORTHO ANCHORAGE

Doing business as

DuClos Orthodontics

Practice address

1836 W Northern Lights Blvd
Anchorage, AK 99517-3342

Phone

(907) 272-3200

Fax

(907) 272-3202

NPI assigned

Oct 3, 2024

Last updated

Oct 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jack B Duclos, DDSNPI 1518187210

Title

Orthodontist

Phone

(907) 272-3200

Specialties & licenses 1

Addresses

Other names 1

• DuClos Orthodontics Doing business as

Locations

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.

• Jack B Duclos, D.D.S, M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Anchorage, AK
  • NPI 1518187210
  NPD Authorized official

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1063231488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 W NORTHERN LIGHTS BLVD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995173342",
            "telephone_number": "907-272-3200",
            "fax_number": "907-272-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 W NORTHERN LIGHTS BLVD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995173342",
            "telephone_number": "907-272-3200",
            "fax_number": "907-272-3202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "935 E Westpoint Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996547180",
            "country_code": "US",
            "telephone_number": "907-376-0815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DUCLOS ORTHO ANCHORAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "DUCLOS",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "907-272-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DuClos Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ayana Duckett
• Demia Duckett
• Dianilee Duckworth Hodge
• Delroy A Duckworth, MA, LPC
• Paige Duckworth
• Jack B Duclos, D.D.S, M.S.
• John T Duddy, M.D.
• Brooke Maury Dudley
• Abbie Duff
• Matthew Duffield

• Orthodontics and Dentofacial Orthopedics Dentistry in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.