NPIMap

Organization Active NPI

Tudor Dental Group LLC

Doing business as Murphy Family Dental

  • General Practice Dentistry
  • Anchorage, AK
National Provider Identifier
1366670093
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
442 Issued in AK
Legal business name
TUDOR DENTAL GROUP LLC
Doing business as
Murphy Family Dental
Practice address
330 E Tudor Rd
Anchorage, AK 99503-7369
Phone
(907) 561-4047
Fax
(907) 562-9856
NPI assigned
Jul 1, 2009
Last updated
Jul 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Authorized official

Name
Mrs. Sandra R Mjolsnes, M.A.
Title
Office Manager
Phone
(907) 561-4047

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 442 AK Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 1234 AK
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 1131 AK

Addresses

Primary practice location

330 E Tudor Rd
Anchorage, AK 99503-7369

Mailing address

330 E Tudor Rd
Anchorage, AK 99503-7369
Phone (907) 561-4047

Other identifiers 5

IdentifierTypeStateIssuer
000823462OtherAKUNITED CONCORDIA
DD1686MedicaidAK
DD1741MedicaidAK
DDO442MedicaidAK
01630417OtherAKUNITED CONCORDIA

Other names 1

  • Murphy Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

330 E Tudor Rd
Anchorage, AK 99503
Phone (907) 248-0022

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1366670093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E TUDOR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995037369",
            "telephone_number": "907-561-4047",
            "fax_number": "907-562-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E TUDOR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995037369",
            "telephone_number": "907-561-4047",
            "fax_number": "907-562-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUDOR DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "MJOLSNES",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "907-561-4047",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "442",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "1234",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "1131",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "000823462",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DD1686",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DD1741",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DDO442",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "01630417",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Murphy Family Dental",
            "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 1, 2009; 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.