Individual provider Active NPI

Terry Joe Preece, D.D.S.

  • General Practice Dentistry
  • Anchorage, AK
National Provider Identifier
1447255955
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1274 Issued in AK
Practice address
12501 Old Seward Hwy
Ste. C
Anchorage, AK 99515-3507
Phone
(907) 222-3242
Fax
(907) 222-1454
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1274 AK Primary
General Practice Dentistry 1223G0001X 139712-9922 UT

Addresses

Primary practice location

12501 Old Seward Hwy
Ste. C
Anchorage, AK 99515-3507

Mailing address

12501 Old Seward Hwy
Ste. C
Anchorage, AK 99515-3507
Phone (907) 222-3242

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150519001473 AK Order and Referring Only - Other (Non-Physician) 3173843984

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
139712-9922UTMDGeneral Practice Dentistry
1274AKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Terry J. Preece DDS PC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1447255955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 OLD SEWARD HWY",
            "address_2": "STE. C",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995153507",
            "telephone_number": "907-222-3242",
            "fax_number": "907-222-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 OLD SEWARD HWY",
            "address_2": "STE. C",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995153507",
            "telephone_number": "907-222-3242",
            "fax_number": "907-222-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREECE",
        "first_name": "TERRY",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "1274",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "139712-9922",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.