Active NPI
Brett Allen Ueeck, M.D., D.M.D.
- Oral & Maxillofacial Surgery (D.M.D.)
- Anchorage, AK
National Provider Identifier
1437159332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 120881
- Practice address
- 3909 Arctic Blvd Ste 404
Anchorage, AK 99503-5769 - Phone
- (907) 222-5052
- Fax
- (907) 222-5051
- NPI assigned
- Jul 21, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | D5181OS | ID | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 120881 | AK | Primary |
Addresses
Primary practice location
3909 Arctic Blvd Ste 404
Anchorage, AK 99503-5769
Mailing address
PO Box 2489
Sandpoint, ID 83864-0915
Phone (503) 467-9014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2026 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120881 | AK | MD | Oral & Maxillofacial Surgery (D.M.D.) |
| D5181OS | ID | MD | Oral & Maxillofacial Surgery (D.M.D.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skyline Oral Facial and Dental Implant Surgery | Oral and Maxillofacial Surgery | Current | Accepting new patients |
Locations
11786 SW Barnes Rd
Ste 110
Portland, OR 97225
Phone (503) 444-6444
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 and National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Portland, OR
- NPI 1376310359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597363200000",
"number": "1437159332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2489",
"city": "SANDPOINT",
"state": "ID",
"postal_code": "838640915",
"telephone_number": "503-467-9014",
"fax_number": "503-601-0569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3909 ARCTIC BLVD STE 404",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995035769",
"telephone_number": "907-222-5052",
"fax_number": "907-222-5051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UEECK",
"first_name": "BRETT",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "M.D., D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-21",
"last_updated": "2020-08-14",
"certification_date": "2020-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "ID",
"license": "D5181OS",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "AK",
"license": "120881",
"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 Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.