Individual provider Active NPI

Victor Dandy Halder, DDS

  • General Practice Dentistry
  • Anchorage, AK
National Provider Identifier
1285380220
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
189659 Issued in AK
Practice address
2421 E Tudor Rd Ste 101
Anchorage, AK 99507-1166
Phone
(907) 222-6000
NPI assigned
Feb 28, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 189659 AK Primary

Addresses

Primary practice location

2421 E Tudor Rd Ste 101
Anchorage, AK 99507-1166

Mailing address

7441 Foxridge Way Apt D
Anchorage, AK 99518-2768
Phone (909) 462-0128

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
189659AKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Glacier Dental, LLC General Practice CurrentSince Mar 6, 2022 Accepting new patients
Btydental Group, LLC PastSince Mar 6, 2022 Accepting new patients

Locations

2421 E Tudor Rd
Ste 101
Anchorage, AK 99507
Phone (907) 222-6000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1285380220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7441 FOXRIDGE WAY APT D",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995182768",
            "telephone_number": "909-462-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 E TUDOR RD STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071166",
            "telephone_number": "907-222-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALDER",
        "first_name": "VICTOR DANDY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "189659",
            "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 Feb 28, 2022; 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.