Individual provider Active NPI

Rebecca V Neslund, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Anchorage, AK
National Provider Identifier
1598957052
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
896 Issued in AK
Practice address
4201 Tudor Centre Dr
Suite 320
Anchorage, AK 99508-5904
Phone
(907) 317-6070
Fax
(806) 794-1919
NPI assigned
Aug 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 896 AK Primary

Addresses

Primary practice location

4201 Tudor Centre Dr
Suite 320
Anchorage, AK 99508-5904

Mailing address

PO Box 196320
Anchorage, AK 99519-6320
Phone (907) 317-6070

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151208000007 TX Order and Referring Only - DentistPractitioner - Dentist 3577863919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Native Tribal Health Consortium Current Accepting new patients
Southcentral Foundation Dental Dhat Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rneslund@direct.scf.cc

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364860800000",
    "number": "1598957052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 196320",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995196320",
            "telephone_number": "907-317-6070",
            "fax_number": "806-794-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 TUDOR CENTRE DR",
            "address_2": "SUITE 320",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085904",
            "telephone_number": "907-317-6070",
            "fax_number": "806-794-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESLUND",
        "first_name": "REBECCA",
        "middle_name": "V",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-17",
        "last_updated": "2013-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AK",
            "license": "896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.