NPIMap

Organization Active NPI

Patrick G Dorman DDS PC

Doing business as Century Dental Center

  • General Practice Dentistry
  • Anchorage, AK
National Provider Identifier
1750604195
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
697 Issued in AK
Legal business name
PATRICK G DORMAN DDS PC
Doing business as
Century Dental Center
Practice address
3501 Denali St
Suite 302
Anchorage, AK 99503-4039
Phone
(907) 561-2475
Fax
(907) 562-0786
NPI assigned
Mar 11, 2010
Last updated
Mar 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Authorized official

Name
Mrs. Zona Mae Mullins
Title
Office Manager
Phone
(907) 561-2475

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 697 AK Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 683 AK
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 1327 AK

Addresses

Primary practice location

3501 Denali St
Suite 302
Anchorage, AK 99503-4039

Mailing address

3501 Denali St
Suite 302
Anchorage, AK 99503-4039
Phone (907) 561-2475

Other identifiers 2

IdentifierTypeStateIssuer
DD33022MedicaidAK
DD06971MedicaidAK

Other names 1

  • Century Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

3501 Denali St
Ste 302
Anchorage, AK 99503
Phone (907) 561-2475

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1750604195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 DENALI ST",
            "address_2": "SUITE 302",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034039",
            "telephone_number": "907-561-2475",
            "fax_number": "907-562-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 DENALI ST",
            "address_2": "SUITE 302",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034039",
            "telephone_number": "907-561-2475",
            "fax_number": "907-562-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK G DORMAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "ZONA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "907-561-2475",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "697",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "683",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "1327",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DD33022",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DD06971",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Century Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 11, 2010; 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.