Dwayne E Trujillo MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DWAYNE E TRUJILLO MD PC

Practice address

4001 Dale St
Suite 216
Anchorage, AK 99508-5428

Phone

(907) 569-3600

Fax

(907) 569-3200

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Joseph E Beaty

Title

Billing Agent

Phone

(907) 770-2301

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1922128677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241769",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995241769",
            "telephone_number": "907-770-2380",
            "fax_number": "907-770-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 DALE ST",
            "address_2": "SUITE 216",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085428",
            "telephone_number": "907-569-3600",
            "fax_number": "907-569-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWAYNE E TRUJILLO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "BEATY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "907-770-2301"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Lee Dutkiewicz, BSN, RN-CCRN
• Betty Duvall, LMT
• Jennifer Duvall
• Lois Elena Duvall
• Linda Duwa, MSN, ACNP
• Margaret Claire Dworian
• Michael Darren Dyches, PA-C
• Dilputch Dyett
• Daron Dykema, MD
• Lisa Veling Dykes, MD

• Family Medicine Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Family Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.