Organization Active NPI

SDC, Inc

Doing business as Precision Dental Designs

  • Dental Laboratory
  • Anchorage, AK
National Provider Identifier
1922647080
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental LaboratoryTaxonomy code 292200000X
Legal business name
SDC, INC
Doing business as
Precision Dental Designs
Practice address
1569 Bragaw St Ste 200
Anchorage, AK 99508-3102
Phone
(907) 274-1648
Fax
(907) 274-4841
NPI assigned
Jan 6, 2020
Last updated
Jan 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Authorized official

Name
Keith Austin Parks
Title
Vice Pres/Manager/Shareholder
Phone
(907) 854-8444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Laboratory 292200000X Primary

Addresses

Primary practice location

1569 Bragaw St Ste 200
Anchorage, AK 99508-3102

Mailing address

1569 Bragaw St Ste 200
Anchorage, AK 99508-3102
Phone (907) 274-1648

Other names 1

  • PRECISION DENTAL DESIGNS Doing business as

National Provider Directory

National Provider Directory

Locations

1569 Bragaw St
Ste 200
Anchorage, AK 99508
Phone (907) 274-1648

NPI Registry JSON

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1922647080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 BRAGAW ST STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083102",
            "telephone_number": "907-274-1648",
            "fax_number": "907-274-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 BRAGAW ST STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083102",
            "telephone_number": "907-274-1648",
            "fax_number": "907-274-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "AUSTIN",
        "authorized_official_title_or_position": "VICE PRES/MANAGER/SHAREHOLDER",
        "authorized_official_telephone_number": "907-854-8444"
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRECISION DENTAL DESIGNS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 6, 2020; 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.