Organization Active NPI

Eric Nordstrom DDS, MD, Inc

  • Ambulatory Surgical Clinic/Center
  • Anchorage, AK
National Provider Identifier
1285410340
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ERIC NORDSTROM DDS, MD, INC
Practice address
3909 Arctic Blvd Ste 404
Anchorage, AK 99503-5769
Phone
(907) 222-5052
Fax
(907) 222-5051
NPI assigned
Sep 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Authorized official

Name
Dr. Eric Nordstrom, MD, DDSNPI 1316954670
Title
Medical Director
Phone
(907) 222-5052

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
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

3909 Arctic Blvd Ste 404
Anchorage, AK 99503-5769

Mailing address

3909 Arctic Blvd Ste 404
Anchorage, AK 99503-5769
Phone (907) 222-5052

Other names 1

  • Alaska Center for Oral and Facial Surgery Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
02D2173950Eric Nordstrom, DDS, MD, Inc3909 Arctic Blvd, Suite 404, Anchorage, AK 99503Certificate of waiverOct 21, 2027

National Provider Directory

National Provider Directory

Locations

3909 Artic Blvd
Ste 404
Anchorage, AK 99503
Phone (907) 222-5052

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1285410340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 ARCTIC BLVD STE 404",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035769",
            "telephone_number": "907-222-5052",
            "fax_number": "907-222-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 ARCTIC BLVD STE 404",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035769",
            "telephone_number": "907-222-5052",
            "fax_number": "907-222-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC NORDSTROM DDS, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "NORDSTROM",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "907-222-5052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, DDS"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alaska Center for Oral and Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alaska Center for Oral and Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.