NPIMap

Organization Active NPI

Alaska Dental Care, LLC.

  • General Practice Dentistry
  • Anchorage, AK
National Provider Identifier
1851664858
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
875 Issued in AK
Legal business name
ALASKA DENTAL CARE, LLC.
Practice address
4000 Old Seward Hwy
Suite #100
Anchorage, AK 99503
Phone
(907) 561-3639
Fax
(907) 562-5337
NPI assigned
Feb 22, 2012
Last updated
Feb 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Authorized official

Name
Dr. Brett Michael Gardiner, D.D.S.NPI 1912122821
Title
Owner/Dentist
Phone
(907) 561-3639

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 253 AK
General Practice Dentistry 1223G0001X 1274 AK
General Practice Dentistry 1223G0001X 875 AK Primary

Addresses

Primary practice location

4000 Old Seward Hwy
Suite #100
Anchorage, AK 99503

Mailing address

4000 Old Seward Hwy
Suite #100
Anchorage, AK 99503
Phone (907) 561-3639

Other identifiers 1

IdentifierTypeStateIssuer
DD08755MedicaidAK

National Provider Directory

National Provider Directory

Locations

4000 Old Seward Hwy
Ste 100
Anchorage, AK 99503
Phone (907) 561-3639

Practitioners & affiliated clinicians

Practitioners 1

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": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1851664858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 OLD SEWARD HWY",
            "address_2": "SUITE #100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99503",
            "telephone_number": "907-561-3639",
            "fax_number": "907-562-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 OLD SEWARD HWY",
            "address_2": "SUITE #100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99503",
            "telephone_number": "907-561-3639",
            "fax_number": "907-562-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA DENTAL CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "GARDINER",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "907-561-3639",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "253",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "1274",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DD08755",
            "state": "AK"
        }
    ],
    "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 Feb 22, 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.