Organization Active NPI

Abbott Family Dentistry, LLC

  • Dentist
  • Anchorage, AK
National Provider Identifier
1104358373
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEND971 Issued in AK
Legal business name
ABBOTT FAMILY DENTISTRY, LLC
Practice address
1601 Abbott Rd
Suite 102
Anchorage, AK 99507-3441
Phone
(907) 336-8478
Fax
(907) 336-8873
NPI assigned
Mar 28, 2017
Last updated
Mar 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Authorized official

Name
Robert P Pierson, DDSNPI 1386748374
Title
Owner
Phone
(907) 336-8478

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEND971 AK Primary
Durable Medical Equipment & Medical Supplies 332B00000X DEND971 AK

Addresses

Primary practice location

1601 Abbott Rd
Suite 102
Anchorage, AK 99507-3441

Mailing address

1601 Abbott Rd
Suite 102
Anchorage, AK 99507-3441
Phone (907) 336-8478

National Provider Directory

National Provider Directory

Locations

1601 Abbott Rd
Ste 102
Anchorage, AK 99507
Phone (907) 336-8478

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1104358373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 ABBOTT RD",
            "address_2": "SUITE 102",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073441",
            "telephone_number": "907-336-8478",
            "fax_number": "907-336-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 ABBOTT RD",
            "address_2": "SUITE 102",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073441",
            "telephone_number": "907-336-8478",
            "fax_number": "907-336-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBOTT FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "PIERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-336-8478",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "DEND971",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AK",
            "license": "DEND971",
            "primary": false
        }
    ],
    "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 Mar 29, 2017; 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.