Active NPI
SDC, Inc
Doing business as Precision Dental Designs
- Dental Laboratory
- Anchorage, AK
National Provider Identifier
1922647080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Laboratory
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.