Organization Active NPI

Aurora Family Dentistry

  • Dental Clinic/Center
  • Anchorage, AK
National Provider Identifier
1770829988
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1293 Issued in AK
Legal business name
AURORA FAMILY DENTISTRY
Practice address
121 W Fireweed LN
Ste 280
Anchorage, AK 99503-2053
Phone
(907) 258-7060
Fax
(907) 222-1665
NPI assigned
Dec 14, 2012
Last updated
Dec 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

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

Authorized official

Name
Dr. Scott Wilson Lyke, D.M.D.NPI 1659560969
Title
Owner/Dentist
Phone
(907) 258-7060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 1293 AK Primary

Addresses

Primary practice location

121 W Fireweed LN
Ste 280
Anchorage, AK 99503-2053

Mailing address

121 W Fireweed LN
Ste 280
Anchorage, AK 99503-2053
Phone (907) 258-7060

National Provider Directory

National Provider Directory

Locations

121 W Fireweed Ln
Ste 280
Anchorage, AK 99503
Phone (907) 258-7060

Practitioners & affiliated clinicians

Practitioners 3

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": "1355443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355443200000",
    "number": "1770829988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W FIREWEED LN",
            "address_2": "STE 280",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032053",
            "telephone_number": "907-258-7060",
            "fax_number": "907-222-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W FIREWEED LN",
            "address_2": "STE 280",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032053",
            "telephone_number": "907-258-7060",
            "fax_number": "907-222-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-14",
        "last_updated": "2012-12-14",
        "status": "A",
        "authorized_official_last_name": "LYKE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "907-258-7060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AK",
            "license": "1293",
            "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 14, 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.