Organization Active NPI

Bright Smiles Dental LLC

  • Dentist
  • Anchorage, AK
National Provider Identifier
1689928830
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0979 Issued in AK
Legal business name
BRIGHT SMILES DENTAL LLC
Practice address
8301 Briarwood St
Suite #202
Anchorage, AK 99518-3333
Phone
(907) 359-3569
Fax
(907) 349-8213
NPI assigned
Nov 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Authorized official

Name
Dr. Robert Morehead, DMD
Title
Owner
Phone
(907) 349-3569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0979 AK Primary

Addresses

Primary practice location

8301 Briarwood St
Suite #202
Anchorage, AK 99518-3333

Mailing address

8301 Briarwood St
Suite #202
Anchorage, AK 99518-3333
Phone (907) 359-3569

National Provider Directory

National Provider Directory

Locations

8301 Briarwood St
Ste 202
Anchorage, AK 99518
Phone (907) 349-3569

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1689928830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 BRIARWOOD ST",
            "address_2": "SUITE #202",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995183333",
            "telephone_number": "907-359-3569",
            "fax_number": "907-349-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 BRIARWOOD ST",
            "address_2": "SUITE #202",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995183333",
            "telephone_number": "907-359-3569",
            "fax_number": "907-349-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT SMILES DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-08",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "MOREHEAD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-349-3569",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AK",
            "license": "0979",
            "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 Nov 8, 2012; 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.