Individual provider Active NPI

Darin Anderson, DMD

  • Endodontics
  • Anchorage, AK
National Provider Identifier
1649221128
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
1445 Issued in AK
Practice address
800 E Dimond Blvd Ste 3-600
Anchorage, AK 99515-2045
Phone
(907) 349-3636
Fax
(907) 349-7027
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 8195 KY
Endodontics 1223E0200X 1445 AK Primary

Addresses

Primary practice location

800 E Dimond Blvd Ste 3-600
Anchorage, AK 99515-2045

Mailing address

800 E Dimond Blvd Ste 3-600
Anchorage, AK 99515-2045
Phone (907) 349-3636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20251208000408 AK Order and Referring Only - DentistPractitioner - Dentist 1658864665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1445AKMDEndodontist
8195KYMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Darin Anderson, LLC Endodontics PastSince Oct 2, 2022 Accepting new patients

Organizations & group practices 1

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1649221128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E DIMOND BLVD STE 3-600",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152045",
            "telephone_number": "907-349-3636",
            "fax_number": "907-349-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E DIMOND BLVD STE 3-600",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152045",
            "telephone_number": "907-349-3636",
            "fax_number": "907-349-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DARIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "KY",
            "license": "8195",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AK",
            "license": "1445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.