Organization Active NPI

Renee Robertson DMD LLC

  • General Practice Dentistry
  • Anchorage, AK
National Provider Identifier
1710493499
Registry record updated Dec 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RENEE ROBERTSON DMD LLC
Practice address
2620 Curlew Cir
Anchorage, AK 99502-1655
Phone
(503) 544-8415
NPI assigned
Dec 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2017

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

Authorized official

Name
Renee M Robertson
Title
Owner
Phone
(503) 544-8415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2620 Curlew Cir
Anchorage, AK 99502-1655

Mailing address

2620 Curlew Cir
Anchorage, AK 99502-1655
Phone (503) 544-8415

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513555200000",
    "number": "1710493499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 CURLEW CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995021655",
            "telephone_number": "503-544-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 CURLEW CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995021655",
            "telephone_number": "503-544-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEE ROBERTSON DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-18",
        "last_updated": "2017-12-18",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-544-8415"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Dec 18, 2017; 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.