Derek N Priebe, DDS MDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

1089.131 Issued in AK

Practice address

3401 Denali St
203
Anchorage, AK 99503-4034

Phone

(907) 563-2828

Fax

(907) 561-0374

NPI assigned

Mar 28, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Priebe Orthodontics, PC

  • Dentist
  • Anchorage, AK
  • NPI 1043578255
  Authorized official Same address or phone

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619096203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 DENALI ST",
            "address_2": "203",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034034",
            "telephone_number": "907-563-2828",
            "fax_number": "907-561-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 DENALI ST",
            "address_2": "203",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034034",
            "telephone_number": "907-563-2828",
            "fax_number": "907-561-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIEBE",
        "first_name": "DEREK",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DDS MDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AK",
            "license": "1089.131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DD1590",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Macaela Price
• Tiffany Price, CNP, PMHNP-BC
• Guilford Clayborne Prickette Jr., LPC
• Jan E. Priddy, LPC
• Priebe Orthodontics, PC
• Phillip Neil Priebe, D.D.S.
• Marie April Mahan Priest, MS LPC
• Primary Care Associates
• Primary Pain Solutions LLC
• Prime Care Inc.

• Orthodontics and Dentofacial Orthopedics Dentistry in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.