Acd1, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

ACD1, LLC

Practice address

3340 Providence Dr Ste 552
Anchorage, AK 99508-4643

Phone

(907) 336-1234

Fax

(907) 336-4321

NPI assigned

Jun 5, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Andrea Sasu

Title

Office Manager

Phone

(907) 336-1234

Specialties & licenses 1

Addresses

Other names 1

• Aurora Children's Dentistry Doing business as

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1285292011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 PROVIDENCE DR STE 552",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084643",
            "telephone_number": "907-336-1234",
            "fax_number": "907-336-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 PROVIDENCE DR STE 552",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084643",
            "telephone_number": "907-336-1234",
            "fax_number": "907-336-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACD1, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "SASU",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "907-336-1234",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aurora Children's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Anchorage, AK
• Pediatric Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.