Anchorage Pediatric Dentistry, Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D137 Issued in AK

Legal business name

ANCHORAGE PEDIATRIC DENTISTRY, INC

Practice address

4200 Lake Otis Pkwy
Suite 102
Anchorage, AK 99508-5226

Phone

(907) 562-1003

NPI assigned

Oct 13, 2010

Last updated

Oct 13, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Brant Darby, D.D.S.NPI 1477528388

Title

Pediatric Dentist/Owner

Phone

(907) 229-0629

Specialties & licenses 1

Addresses

Practitioners 1

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.

• James Brant Darby, DDS

  • Pediatric Dentistry
  • Grants Pass, OR
  • NPI 1477528388
  NPD (past) Authorized official

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1417267337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 LAKE OTIS PKWY",
            "address_2": "SUITE 102",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085226",
            "telephone_number": "907-562-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 LAKE OTIS PKWY",
            "address_2": "SUITE 102",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085226",
            "telephone_number": "907-562-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHORAGE PEDIATRIC DENTISTRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "DARBY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BRANT",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST/OWNER",
        "authorized_official_telephone_number": "907-229-0629",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AK",
            "license": "D137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anchorage Osteopathic Medical Clinic
• Anchorage Pain Solutions PC
• Anchorage Pathology Group
• Anchorage Pediatric Group
• Anchorage Physical Medicine, LLC
• Anchorage Post Acute Services LLC
• Anchorage Primary Care Clinic
• Anchorage Psychiatry

• Pediatric Dentistry in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Pediatric Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.