Active NPI
Alexander Junho Song, DDS
- Dentist
- Fort Wainwright, AK
National Provider Identifier
1487131249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2018021458
- Practice address
- Bassett Army Community Hospital
Fort Wainwright, AK 99703 - Phone
- (907) 361-6028
- NPI assigned
- Jul 25, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2018021458 | MO | Primary |
Addresses
Primary practice location
Bassett Army Community Hospital
Fort Wainwright, AK 99703
Mailing address
Bassett Army Community Hospital
4076 Neely Rd
Fort Wainwright, AK 99703
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018021458 | MO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768348800000",
"number": "1487131249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BASSETT ARMY COMMUNITY HOSPITAL",
"address_2": "4076 NEELY RD",
"city": "FORT WAINWRIGHT",
"state": "AK",
"postal_code": "99703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BASSETT ARMY COMMUNITY HOSPITAL",
"city": "FORT WAINWRIGHT",
"state": "AK",
"postal_code": "99703",
"telephone_number": "907-361-6028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONG",
"first_name": "ALEXANDER",
"middle_name": "JUNHO",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-25",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2018021458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wainwright, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.