Patrick George Dorman, DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

697 Issued in AK

Practice address

3501 Denali St Ste 302
Anchorage, AK 99503-4039

Phone

(907) 561-2475

Fax

(907) 562-0786

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Patrick G Dorman DDS PC

  • General Practice Dentistry
  • Anchorage, AK
  • NPI 1750604195
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1285795609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 DENALI ST STE 302",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034039",
            "telephone_number": "907-561-2475",
            "fax_number": "907-562-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 DENALI ST STE 302",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034039",
            "telephone_number": "907-561-2475",
            "fax_number": "907-562-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORMAN",
        "first_name": "PATRICK",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "DDS PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DD06971",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean Dore
• Karen Louise Doremire, RN
• Christopher J Doremus
• Doris Bergeron Counseling Services, LLC
• Chelsa R. Dorman, LCSW
• Claire Dorn, RN, IBCLC
• Drew Dorschner, DPT
• Hunter A Doseck
• Ashley Nicole Doss, PHD
• Aliauna Dossman-Berry

• Dentist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Dentist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.