Active NPI
Dwight Briggs Stallman, D.O.
- Psychiatry Physician
- Anchorage, AK
National Provider Identifier
1699073155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 3390
- Practice address
- 550 W 7TH Ave
Suite 601
Anchorage, AK 99501-3514 - Phone
- (907) 269-7316
- Fax
- (907) 269-7321
- NPI assigned
- Mar 8, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 3390 | AK | Primary |
Addresses
Primary practice location
550 W 7TH Ave
Suite 601
Anchorage, AK 99501-3514
Mailing address
550 W 7TH Ave
Suite 601
Anchorage, AK 99501-3514
Phone (907) 269-7316
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3390 | AK | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299542400000",
"number": "1699073155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 W 7TH AVE",
"address_2": "SUITE 601",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995013514",
"telephone_number": "907-269-7316",
"fax_number": "907-269-7321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 W 7TH AVE",
"address_2": "SUITE 601",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995013514",
"telephone_number": "907-269-7316",
"fax_number": "907-269-7321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STALLMAN",
"first_name": "DWIGHT",
"middle_name": "BRIGGS",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-08",
"last_updated": "2011-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AK",
"license": "3390",
"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 Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.