Individual provider Active NPI

Lance Russell Dunlop, M.D.

  • Psychiatry Physician
  • Fairbanks, AK
National Provider Identifier
1457452674
Registry record updated Jul 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
100774 Issued in AK
Practice address
1650 Cowles St
Fairbanks, AK 99701-5907
Phone
(907) 458-5250
Fax
(907) 458-5255
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2026

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 339634-01 NY
Psychiatry Physician 2084P0800X 4301515338 MI
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 100774 AK
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 339634-01 NY
Child & Adolescent Psychiatry Physician 2084P0804X 25MA09349400 NJ
Child & Adolescent Psychiatry Physician 2084P0804X MD430027 PA
Psychiatry Physician 2084P0800X 25MA09349400 NJ
Addiction Medicine (Preventive Medicine) Physician 2083A0300X MD430027 PA
Psychiatry Physician 2084P0800X C-205674 CA
Child & Adolescent Psychiatry Physician 2084P0804X 100774 AK
Psychiatry Physician 2084P0800X W4452 TX
Psychiatry Physician 2084P0800X 339634-01 NY
Psychiatry Physician 2084P0800X 100774 AK Primary
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 25MA09349400 NJ
Psychiatry Physician 2084P0800X MD430027 PA

Addresses

Primary practice location

1650 Cowles St
Fairbanks, AK 99701-5907

Mailing address

1650 Cowles St
Fairbanks, AK 99701-5907
Phone (907) 458-5250

Other practice location 1

1825 Marika Rd
Fairbanks, AK 99709-5521
Phone (907) 474-0890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, AK, MI, TX, TN, VA, NC7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20150812007874 NJ Practitioner - Psychiatry 8224165113 Reassigns benefits to 1 organization
I20190307001317 AK Practitioner - Psychiatry 8224165113 Reassigns benefits to 1 organization
I20251223002199 MI Practitioner - Psychiatry 8224165113 Reassigns benefits to 5 organizations
I20260416001108 TX Practitioner - Psychiatry 8224165113 Reassigns benefits to 2 organizations
I20260506000238 TN Practitioner - Psychiatry 8224165113 Reassigns benefits to 2 organizations
I20260511001866 VA Practitioner - Psychiatry 8224165113 Reassigns benefits to 2 organizations
I20260511002334 NC Practitioner - Psychiatry 8224165113 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tanana Valley Clinic LLCGroup PAC ID 5698056901, 142 clinicians

Practice addresses (Care Compare)

1650 Cowles St
Fairbanks, AK 99701-5907
Phone (907) 459-3500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.86 of 100Reported as group
Quality
94.88
Promoting interoperability
100
Improvement activities
40
Cost
79.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
100774AKMDPsychiatry Physician
4301515338MIMDPsychiatry Physician
25MA09349400NJMDPsychiatry Physician
MD430027PAMDPsychiatry Physician
MT184139PAMDPsychiatry Physician
W4452TXMDPsychiatry Physician
339634-01NYMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tanana Valley Clinic LLC CurrentSince Jan 1, 2019 Accepting new patients
Metropolitan Hospital Psychiatry CurrentSince Jan 1, 2026 Accepting new patients
Tanana Valley Clinic LLC CurrentSince Jan 1, 2019 Accepting new patients
Cumberland County Guidance Center CurrentSince Jul 14, 2015 Accepting new patients
McLaren Medical Group CurrentSince Feb 16, 2026 Accepting new patients
Edward W. Sparrow Hospital Association Psychiatry CurrentSince Jan 6, 2026 Accepting new patients
McLaren Medical Group Psychiatry CurrentSince Feb 16, 2026 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Jan 6, 2026 Accepting new patients
Fairbanks Memorial Hospital, LLC Past Accepting new patients
Cambria Cnty MH Mr Da Psychiatry Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Rowansom Dept of Obstetrics Gynecology Past Accepting new patients
Integrated Behavioral Healthcare Management Services, Inc. Psychiatry Past Accepting new patients

Locations

1650 Cowles St
Fairbanks, AK 99701
Phone (907) 452-8181

1001 Noble St
Fairbanks, AK 99701
Phone (907) 276-2806

2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500

1210 W Saginaw St
Fl 2
Lansing, MI 48915
Phone (517) 364-7575

5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243

2038 Carmel Rd
Millville, NJ 08332
Phone (856) 825-6810

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784332800000",
    "number": "1457452674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 COWLES ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015907",
            "telephone_number": "907-458-5250",
            "fax_number": "074-589-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COWLES ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015907",
            "telephone_number": "907-458-5250",
            "fax_number": "907-458-5255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1825 Marika Rd",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997095521",
            "country_code": "US",
            "telephone_number": "907-474-0890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNLOP",
        "first_name": "LANCE",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2026-07-18",
        "certification_date": "2026-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "339634-01",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301515338",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "AK",
            "license": "100774",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "NY",
            "license": "339634-01",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "25MA09349400",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD430027",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA09349400",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "PA",
            "license": "MD430027",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C-205674",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AK",
            "license": "100774",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "W4452",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "339634-01",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AK",
            "license": "100774",
            "primary": true
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "NJ",
            "license": "25MA09349400",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD430027",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.