Active NPI
Jeffrey W Symonds, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Anchorage, AK
National Provider Identifier
1548321995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DEND1109
- Practice address
- 4441 Diplomacy Dr
Anchorage, AK 99508-5910 - Phone
- (907) 729-2000
- NPI assigned
- Dec 12, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DEND1109 | AK | Primary |
Addresses
Primary practice location
4441 Diplomacy Dr
Anchorage, AK 99508-5910
Mailing address
7033 E Tudor Rd
Anchorage, AK 99507-1262
Phone (907) 729-8901
Other practice location 1
1000 OMalley Road
Suite 105
Anchorage, AK 99515
Phone (907) 349-1951
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151207001625 | TX | Order and Referring Only - Dentist | 1355641754 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alaska Native Tribal Health Consortium | Current | Accepting new patients |
Locations
4441 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-2000
Interoperability endpoints
- jsymonds@direct.scf.cc
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.
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1437189339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737072000000",
"number": "1548321995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7033 E TUDOR RD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995071262",
"telephone_number": "907-729-8901",
"fax_number": "907-729-5180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4441 DIPLOMACY DR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085910",
"telephone_number": "907-729-2000"
}
],
"practiceLocations": [
{
"address_1": "1000 OMalley Road",
"address_2": "Suite 105",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "99515",
"country_code": "US",
"telephone_number": "907-349-1951",
"fax_number": "907-349-5107",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SYMONDS",
"first_name": "JEFFREY",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "AK",
"license": "DEND1109",
"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 Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.