Individual provider Active NPI

Pete B. Higgins, DDS

  • Dentist
  • Anchorage, AK
National Provider Identifier
1407038755
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1012 Issued in AK
Practice address
3901 Raspberry Rd
Anchorage, AK 99502-1973
Phone
(907) 258-3384
Fax
(907) 258-3390
NPI assigned
Nov 28, 2007
Last updated
May 12, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1012 AK Primary

Addresses

Primary practice location

3901 Raspberry Rd
Anchorage, AK 99502-1973

Mailing address

3901 Raspberry Rd
Anchorage, AK 99502-1973
Phone (907) 258-3384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170227000736 AK Order and Referring Only - DentistPractitioner - Dentist 7012291685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1012AKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pete B. Higgins DDS LLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1407038755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 RASPBERRY RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995021973",
            "telephone_number": "907-258-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 RASPBERRY RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995021973",
            "telephone_number": "907-258-3384",
            "fax_number": "907-258-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "PETE",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-28",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "1012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.