Individual provider Active NPI

Gary Jones

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Anchorage, AK
National Provider Identifier
1295282952
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
100619 Issued in AK
Practice address
6700 Rockridge Dr
Anchorage, AK 99516-1898
Phone
(907) 764-8331
Fax
(907) 249-7811
NPI assigned
Sep 9, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 100619 AK Primary

Addresses

Primary practice location

6700 Rockridge Dr
Anchorage, AK 99516-1898

Mailing address

8901 Lakehurst Dr
Side a
Anchorage, AK 99502-5161
Phone (907) 764-8331

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
100619AKMDIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Sanctuary II Alh Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities Past Accepting new patients

Organizations & group practices 1

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": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1295282952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 LAKEHURST DR",
            "address_2": "SIDE A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995025161",
            "telephone_number": "907-764-8331",
            "fax_number": "907-249-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 ROCKRIDGE DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995161898",
            "telephone_number": "907-764-8331",
            "fax_number": "907-249-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "GARY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "AK",
            "license": "100619",
            "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 Sep 9, 2016; 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.