Charles Daniel Northcutt, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

39040 Issued in TX

Practice address

634 Second St
Jber, AK 99505

Phone

(907) 348-2483

NPI assigned

Oct 29, 2021

Last updated

Oct 3, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1326702861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19254 ADAK CIR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 SECOND ST",
            "city": "JBER",
            "state": "AK",
            "postal_code": "99505",
            "telephone_number": "907-348-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTHCUTT",
        "first_name": "CHARLES",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-29",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "39040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rae H Nakayama, PHARMD
• Clell Lee Neighbors, LAC, LCSW
• Jeffrey A Newsom, O.D.
• Alisa Niehuser
• Michael Niemi, PA-C
• Kristin Michelle Nosek, LCSW
• Donovan Chan Nourn, DO
• Pamela Langley Novy, PH.D.
• Suzette A O'Donnell, LCSW
• Marcy Lorraine O'Neil, O.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.