Active NPI
Dennis Joseph Linderman, DO, MPH
- Family Medicine Physician
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 39069
- Practice address
- 4951 Business Park Blvd
Anchorage, AK 99503 - Phone
- (907) 743-7200
- NPI assigned
- Jun 24, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 191254 | NC | |
| Family Medicine Physician | 207Q00000X | 39069 | SC | Primary |
Addresses
Primary practice location
4951 Business Park Blvd
Anchorage, AK 99503
Mailing address
4951 Business Park Blvd
Anchorage, AK 99503-7174
Phone (907) 743-7200
Other practice location 1
853 N Church St
Suite 510
Spartanburg, SC 29303-3098
Phone (864) 560-6193
Other practice location 2
853 N Church St
Suite 510
Spartanburg, SC 29303-3098
Phone (864) 560-6193
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390696 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AK, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170626002924 | TX | Practitioner - Family Practice | 2668761933 | Reassigns benefits to 2 organizations |
| I20190321001167 | AK | Practitioner - Family Practice | 2668761933 | Reassigns benefits to 1 organization |
| I20251125001520 | CO | Practitioner - Family Practice | 2668761933 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- County of Kiowa Hospital District
Practice addresses (Care Compare)
PO Box
Eads, CO 81036
Hospital & facility affiliations
- Weisbrod Memorial County Hospital
- Samuel Simmonds Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 191254 | NC | MD | Family Medicine Physician |
| 39069 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Kiowa Hospital District | Current | Accepting new patients | |
| Anchorage Neighborhood Health Center, Inc. | Current | Accepting new patients | |
| Arctic Slope Native Association LTD | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Anchorage Neighborhood Health Center Inc | Family Medicine | Current | Accepting new patients |
| County of Kiowa Hospital District | Current | Accepting new patients |
Locations
4951 Business Park Blvd
Anchorage, AK 99503
Phone (907) 743-7200
37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040
1200 Salmon Creek Ln
Juneau, AK 99801
Phone (907) 463-4031
3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000
222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nursing Facility/Intermediate Care Facility
- Eads, CO
- NPI 1366452732
CO
-
- Family Medicine Physician
- Anchorage, AK
- NPI 1811170210
AK, Family Medicine
-
- Rural Health Clinic/Center
- Eads, CO
- NPI 1659464709
-
- Durable Medical Equipment & Medical Supplies
- Anchorage, AK
- NPI 1184367195
-
- Clinic/Center
- Juneau, AK
- NPI 1427941343
-
- Critical Access Hospital
- Sitka, AK
- NPI 1720062524
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Nursing Facility/Intermediate Care Facility
- Eads, CO
- NPI 1366452732
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547078400000",
"number": "1124467014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4951 BUSINESS PARK BLVD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995037174",
"telephone_number": "907-743-7200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4951 BUSINESS PARK BLVD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99503",
"telephone_number": "907-743-7200"
}
],
"practiceLocations": [
{
"address_1": "853 N Church St",
"address_2": "Suite 510",
"address_purpose": "LOCATION",
"city": "Spartanburg",
"state": "SC",
"postal_code": "293033098",
"country_code": "US",
"telephone_number": "864-560-6193",
"fax_number": "864-560-1510",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "853 N Church St",
"address_2": "Suite 510",
"address_purpose": "LOCATION",
"city": "Spartanburg",
"state": "SC",
"postal_code": "293033098",
"country_code": "US",
"telephone_number": "864-560-6193",
"fax_number": "864-560-1510",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LINDERMAN",
"first_name": "DENNIS",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DO, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-24",
"last_updated": "2019-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "191254",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "39069",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "390696",
"state": "SC"
}
],
"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 Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.