NPIMap

Organization Active NPI

Alcan Dental Group

  • General Practice Dentistry
  • Anchorage, AK
National Provider Identifier
1376828012
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
818 Issued in AK
Legal business name
ALCAN DENTAL GROUP
Practice address
2819 Dawson St
Anchorage, AK 99503-3837
Phone
(907) 562-4774
Fax
(907) 561-2714
NPI assigned
Oct 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Authorized official

Name
Dr. Scott Laudon
Title
Owner
Phone
(907) 562-4774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 818 AK Primary

Addresses

Primary practice location

2819 Dawson St
Anchorage, AK 99503-3837

Mailing address

2819 Dawson St
Anchorage, AK 99503-3837
Phone (907) 562-4774

National Provider Directory

National Provider Directory

Locations

2819 Dawson St
Anchorage, AK 99503
Phone (907) 562-4774

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1376828012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 DAWSON ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033837",
            "telephone_number": "907-562-4774",
            "fax_number": "907-561-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 DAWSON ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033837",
            "telephone_number": "907-562-4774",
            "fax_number": "907-561-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCAN DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "LAUDON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-562-4774",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "818",
            "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 Oct 13, 2011; 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.