Organization Active NPI

John B Dekeyser MD PC

  • Obstetrics & Gynecology Physician
  • Anchorage, AK
National Provider Identifier
1922389287
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2087 Issued in AK
Legal business name
JOHN B DEKEYSER MD PC
Practice address
1200 Airport Heights Dr
Suite 280
Anchorage, AK 99508-2965
Phone
(907) 339-9700
Fax
(907) 339-9721
NPI assigned
Aug 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Authorized official

Name
Dr. John Baptist Dekeyser, MD
Title
Owner
Phone
(907) 339-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 2087 AK Primary

Addresses

Primary practice location

1200 Airport Heights Dr
Suite 280
Anchorage, AK 99508-2965

Mailing address

1200 Airport Heights Dr
Suite 280
Anchorage, AK 99508-2965
Phone (907) 339-9700

Other identifiers 1

IdentifierTypeStateIssuer
MD9942MedicaidAK

National Provider Directory

National Provider Directory

Locations

1200 Airport Heights Dr
#28
Anchorage, AK 99508

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10439/brand/2/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1922389287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 AIRPORT HEIGHTS DR",
            "address_2": "SUITE 280",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082965",
            "telephone_number": "907-339-9700",
            "fax_number": "907-339-9721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 AIRPORT HEIGHTS DR",
            "address_2": "SUITE 280",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082965",
            "telephone_number": "907-339-9700",
            "fax_number": "907-339-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN B DEKEYSER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-31",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "DEKEYSER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BAPTIST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-339-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AK",
            "license": "2087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD9942",
            "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 8, 2017; 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.