Active NPI
Eric Nordstrom DDS, MD, Inc
- Ambulatory Surgical Clinic/Center
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eric Nordstrom, MD, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 02D2173950 | Eric Nordstrom, DDS, MD, Inc | Certificate of waiver | Oct 21, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Anchorage, AK
- NPI 1316954670
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.