NPIMap

Organization Active NPI

Fresh Dental Care PC

  • General Practice Dentistry
  • Anchorage, AK
National Provider Identifier
1851886253
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1359 Issued in AK
Legal business name
FRESH DENTAL CARE PC
Practice address
900 W Fireweed LN
Anchorage, AK 99503
Phone
(907) 276-1050
Fax
(907) 279-2242
NPI assigned
Jun 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Authorized official

Name
Parisa Rahmanian, DDSNPI 1053446963
Title
Dentist
Phone
(907) 276-1050

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 1359 AK Primary

Addresses

Primary practice location

900 W Fireweed LN
Anchorage, AK 99503

Mailing address

900 W Fireweed LN
Anchorage, AK 99503-2558
Phone (907) 276-1050

Other identifiers 2

IdentifierTypeStateIssuer
1002847MedicaidAK
1684801MedicaidAK

National Provider Directory

National Provider Directory

Locations

900 W Fireweed Ln
Anchorage, AK 99503
Phone (907) 276-1050

Practitioners & affiliated clinicians

Practitioners 2

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": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1851886253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W FIREWEED LN",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032558",
            "telephone_number": "907-276-1050",
            "fax_number": "907-279-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W FIREWEED LN",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99503",
            "telephone_number": "907-276-1050",
            "fax_number": "907-279-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "RAHMANIAN",
        "authorized_official_first_name": "PARISA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "907-276-1050",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "1359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002847",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1684801",
            "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 Aug 22, 2018; 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.