NPIMap

Organization Active NPI

Pete B. Higgins DDS LLC

  • Dental Clinic/Center
  • Anchorage, AK
National Provider Identifier
1568540946
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1012 Issued in AK
Legal business name
PETE B. HIGGINS DDS LLC
Practice address
3901 Raspberry Rd
Anchorage, AK 99502-1973
Phone
(907) 258-3384
Fax
(907) 258-3390
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Authorized official

Name
Pete B Higgins, DDSNPI 1407038755
Title
Dentist
Phone
(907) 258-3384

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
Dental Clinic/Center 261QD0000X 1012 AK Primary

Addresses

Primary practice location

3901 Raspberry Rd
Anchorage, AK 99502-1973

Mailing address

3901 Raspberry Rd
Anchorage, AK 99502-1973
Phone (907) 258-3384

Other identifiers 1

IdentifierTypeStateIssuer
DD10121MedicaidAK

Other names 1

  • Four Corners Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Four Corners Dental Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3901 Raspberry Rd
Anchorage, AK 99502
Phone (907) 258-3384

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1568540946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 RASPBERRY RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995021973",
            "telephone_number": "907-258-3384",
            "fax_number": "907-258-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 RASPBERRY RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995021973",
            "telephone_number": "907-258-3384",
            "fax_number": "907-258-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETE B. HIGGINS DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "PETE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "907-258-3384",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AK",
            "license": "1012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DD10121",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four Corners Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 12, 2014; 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.