North Coast Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NORTH COAST FAMILY DENTISTRY

Practice address

2020 Abbott Rd Ste 1
Anchorage, AK 99507-4624

Phone

(907) 344-2483

NPI assigned

Jul 1, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Susan Ann Sergie, DMDNPI 1124466552

Title

Dentist

Phone

(907) 344-2483

Specialties & licenses 2

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Ann Sergie, D.M.D.

  • Dentist
  • Anchorage, AK
  • NPI 1124466552
  NPD Authorized official

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1568024388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 ABBOTT RD STE 1",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99507",
            "telephone_number": "907-344-2483",
            "fax_number": "907-349-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 ABBOTT RD STE 1",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995074624",
            "telephone_number": "907-344-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COAST FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-01",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "SERGIE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "907-344-2483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1584714",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1500",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane C Norris
• Kayleen Norris
• Kenneth Jewell Norris Jr., MD
• Virginia Kathryn Norris, LMT
• Norstrom Chiropractic LLC
• North Pacific Neuromonitoring Associates, P.C.
• North Pacific Rim Housing Authority
• North Star Acupuncture LLC
• North Star Chiropractic Wellness Center, LLC
• North Star Optical, LLC

• All providers in Anchorage, AK
• General Practice Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.