Organization Active NPI

Dr Keith D McGranahan DDS Apc

  • General Practice Dentistry
  • Anchorage, AK
National Provider Identifier
1770655474
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
AK310 Issued in AK
Legal business name
DR KEITH D MCGRANAHAN DDS APC
Practice address
1407 W 31St Suite 601
Anchorage, AK 99503-3661
Phone
(907) 278-1505
Fax
(907) 276-8284
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Keith Dean McGranahan, DDS
Title
Dentist Pres
Phone
(907) 278-1050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X AK310 AK Primary

Addresses

Primary practice location

1407 W 31St Suite 601
Anchorage, AK 99503-3661

Mailing address

1407 W 31St Suite 601
Anchorage, AK 99503-3661
Phone (907) 278-1505

Other names 1

  • Keith Dean McGranahan DDS Doing business as

National Provider Directory

National Provider Directory

Locations

1407 W 31st Ave
Ste 601
Anchorage, AK 99503
Phone (907) 278-1505

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770655474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 W 31ST SUITE 601",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033661",
            "telephone_number": "907-278-1505",
            "fax_number": "907-276-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 W 31ST SUITE 601",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033661",
            "telephone_number": "907-278-1505",
            "fax_number": "907-276-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KEITH D MCGRANAHAN DDS APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCGRANAHAN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "DENTIST PRES",
        "authorized_official_telephone_number": "907-278-1050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "AK310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keith Dean McGranahan DDS",
            "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 Aug 22, 2020; 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.