Organization Active NPI

Alaska Breast Care Specialist, PC

  • Specialist
  • Anchorage, AK
National Provider Identifier
1669843074
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
8158 Issued in AK
Legal business name
ALASKA BREAST CARE SPECIALIST, PC
Practice address
2741 Debarr Rd Ste 402
Anchorage, AK 99508-2980
Phone
(907) 222-2950
NPI assigned
Oct 12, 2015
Last updated
Oct 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Authorized official

Name
Ms. Laurine Annette Mitchell
Title
Director of Operation
Phone
(205) 585-2391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 8158 AK Primary

Addresses

Primary practice location

2741 Debarr Rd Ste 402
Anchorage, AK 99508-2980

Mailing address

2741 Debarr Rd Ste 402
Anchorage, AK 99508-2980
Phone (907) 222-2950

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1669843074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 DEBARR RD STE 402",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082980",
            "telephone_number": "907-222-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 DEBARR RD STE 402",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082980",
            "telephone_number": "907-222-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA BREAST CARE SPECIALIST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "LAURINE",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATION",
        "authorized_official_telephone_number": "205-585-2391",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AK",
            "license": "8158",
            "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 Oct 12, 2015; 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.