William Rutan Sedwick, DD.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

NO.383 Issued in AK

Practice address

3900 Arctic Blvd. Ste 103
Anchorage, AK 99503-5780

Phone

(907) 563-7517

NPI assigned

Sep 10, 2012

Last updated

Sep 10, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 22, 2016 through Feb 22, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1346599032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 ARCTIC BLVD. .STE 103",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035780",
            "telephone_number": "907-563-7517",
            "fax_number": "907-561-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 ARCTIC BLVD. STE 103",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035780",
            "telephone_number": "907-563-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDWICK",
        "first_name": "WILLIAM",
        "middle_name": "RUTAN",
        "name_prefix": "Mr.",
        "credential": "DD.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "NO.383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Second Chance Support Services LLC
• Secure Care Transport LLC
• Brittany A Sedlacek, PA-C
• Nora Allison Sedlock
• Jack Donovan Sedwick II, M.D.
• Sheri Seeds
• Seeganna Psychiatric Services
• Anthony Seeganna, CCM
• Carolyn Mills Seeganna, RN, ANP
• Kelly Seeley

• General Practice Dentistry in Anchorage, AK
• Providers in Anchorage, AK by specialty
• General Practice Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.