Organization Active NPI

Donald W. Dippe MD a Professional Corporation

  • Ophthalmology Physician
  • Anchorage, AK
National Provider Identifier
1831344050
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
1495 Issued in AK
Legal business name
DONALD W. DIPPE MD A PROFESSIONAL CORPORATION
Practice address
2841 Debarr Rd
Suite 35
Anchorage, AK 99508-2967
Phone
(907) 264-1405
Fax
(907) 264-1404
NPI assigned
Dec 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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

Authorized official

Name
Donald Walter Dippe, M.D.
Title
President
Phone
(907) 264-1405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 1495 AK Primary

Addresses

Primary practice location

2841 Debarr Rd
Suite 35
Anchorage, AK 99508-2967

Mailing address

2841 Debarr Rd
Suite 35
Anchorage, AK 99508-2967
Phone (907) 264-1405

Other identifiers 1

IdentifierTypeStateIssuer
MD1495MedicaidAK

Other names 1

  • Donald W Dippe, M.D. APC Other name

National Provider Directory

National Provider Directory

Locations

2841 Debarr Rd
Ste 35
Anchorage, AK 99508
Phone (907) 264-1405

NPI Registry JSON

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1831344050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 DEBARR RD",
            "address_2": "SUITE 35",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082967",
            "telephone_number": "907-264-1405",
            "fax_number": "907-264-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 DEBARR RD",
            "address_2": "SUITE 35",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082967",
            "telephone_number": "907-264-1405",
            "fax_number": "907-264-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD W. DIPPE MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "DIPPE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-264-1405",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AK",
            "license": "1495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD1495",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Donald W Dippe, M.D. APC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 26, 2009; 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.