Organization Active NPI

Alaska Center for Dermatology, P.C.

  • Dermatology Physician
  • Anchorage, AK
National Provider Identifier
1609808948
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
ALASKA CENTER FOR DERMATOLOGY, P.C.
Practice address
3841 Piper Street
Suite T4-020
Anchorage, AK 99508
Phone
(907) 646-8500
Fax
(907) 646-9760
NPI assigned
Jul 7, 2006
Last updated
Jul 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Authorized official

Name
Peter George Ehrnstrom, M.D.NPI 1689600439
Title
President
Phone
(907) 646-8500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

3841 Piper Street
Suite T4-020
Anchorage, AK 99508

Mailing address

3841 Piper Street
Suite T4-020
Anchorage, AK 99508
Phone (907) 646-8500

National Provider Directory

National Provider Directory

Locations

3841 Piper St
Ste 20
Anchorage, AK 99508
Phone (907) 646-8500

3841 Piper St
Ste T4-020
Anchorage, AK 99508
Phone (907) 646-8500

Practitioners & affiliated clinicians

Practitioners 2

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": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1609808948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 PIPER STREET",
            "address_2": "SUITE T4-020",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-646-8500",
            "fax_number": "907-646-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 PIPER STREET",
            "address_2": "SUITE T4-020",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-646-8500",
            "fax_number": "907-646-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA CENTER FOR DERMATOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "EHRNSTROM",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-646-8500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "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 Jul 26, 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.