Organization Active NPI

Mark a Just Ddsllc

  • General Practice Dentistry
  • Anchorage, AK
National Provider Identifier
1508173477
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
878 Issued in AK
Legal business name
MARK A JUST DDSLLC
Practice address
6611 Debarr Rd
Suite 101
Anchorage, AK 99504-1706
Phone
(907) 337-0304
Fax
(907) 929-2179
NPI assigned
Sep 13, 2010
Last updated
Sep 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Authorized official

Name
Mark Allen JustNPI 1437263449
Title
Member
Phone
(907) 337-0304

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 878 AK Primary

Addresses

Primary practice location

6611 Debarr Rd
Suite 101
Anchorage, AK 99504-1706

Mailing address

6611 Debarr Rd
Suite 101
Anchorage, AK 99504-1706
Phone (907) 337-0304

National Provider Directory

National Provider Directory

Locations

6611 Debarr Rd
Ste 101
Anchorage, AK 99504
Phone (907) 337-0304

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1508173477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6611 DEBARR RD",
            "address_2": "SUITE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041706",
            "telephone_number": "907-337-0304",
            "fax_number": "907-929-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6611 DEBARR RD",
            "address_2": "SUITE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041706",
            "telephone_number": "907-337-0304",
            "fax_number": "907-929-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A JUST DDSLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "JUST",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "907-337-0304"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "878",
            "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 Sep 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.