Individual provider Active NPI

Alison Seidl Walsh, DDS

  • Dentist
  • Anchorage, AK
National Provider Identifier
1245543941
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1406 Issued in AK
Practice address
2601 Boniface Pkwy
Suite 1
Anchorage, AK 99504-3144
Phone
(907) 337-9448
Fax
(907) 337-4123
NPI assigned
Jul 22, 2010
Last updated
Aug 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6548-015 WI
Dentist 122300000X 1406 AK Primary

Addresses

Primary practice location

2601 Boniface Pkwy
Suite 1
Anchorage, AK 99504-3144

Mailing address

2601 Boniface Pkwy
Suite 1
Anchorage, AK 99504-3144
Phone (907) 337-9448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1406AKMDDentist
6548-015WIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mabry and Mabry Dentistry, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1245543941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 BONIFACE PKWY",
            "address_2": "SUITE 1",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995043144",
            "telephone_number": "907-337-9448",
            "fax_number": "907-337-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 BONIFACE PKWY",
            "address_2": "SUITE 1",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995043144",
            "telephone_number": "907-337-9448",
            "fax_number": "907-337-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "ALISON",
        "middle_name": "SEIDL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-22",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6548-015",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "1406",
            "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 Aug 3, 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.