NPIMap

Organization Active NPI

Alaska Native Tribal Health Consortium

  • Dentist
  • Anchorage, AK
National Provider Identifier
1851601967
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6615 Issued in NC
Legal business name
ALASKA NATIVE TRIBAL HEALTH CONSORTIUM
Practice address
610 Akiachuk Dr.
Suite 208
Anchorage, AK 99559
Phone
(907) 543-0980
Fax
(907) 543-0989
NPI assigned
Oct 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Authorized official

Name
Mary Elizabeth Williard, DDS
Title
Clinical Site Director
Phone
(907) 729-5602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 6615 NC Primary

Addresses

Primary practice location

610 Akiachuk Dr.
Suite 208
Anchorage, AK 99559

Mailing address

4000 Ambassador Dr
Anchorage, AK 99508-5909
Phone (907) 729-5600

National Provider Directory

National Provider Directory
Tax ID family
Alaska Native Medical Center22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1851601967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 AMBASSADOR DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085909",
            "telephone_number": "907-729-5600",
            "fax_number": "907-729-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 AKIACHUK DR.",
            "address_2": "SUITE 208",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99559",
            "telephone_number": "907-543-0980",
            "fax_number": "907-543-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA NATIVE TRIBAL HEALTH CONSORTIUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "WILLIARD",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CLINICAL SITE DIRECTOR",
        "authorized_official_telephone_number": "907-729-5602",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "6615",
            "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 Oct 14, 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.