Thomas B. Nordtvedt, DDS, Apc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

378 Issued in AK

Legal business name

THOMAS B. NORDTVEDT, DDS, APC

Practice address

1621 Tongass Ave
Suite 103
Ketchikan, AK 99901-6013

Phone

(907) 225-8228

Fax

(907) 225-8224

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thomas B. Nordtvedt, DDSNPI 1063593671

Title

President

Phone

(907) 225-8228

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Thomas B Nordtvedt, DDS

  • General Practice Dentistry
  • Ketchikan, AK
  • NPI 1063593671
  NPD (past) Authorized official
• Jason William Evison, DDS

  • Dentist
  • Ketchikan, AK
  • NPI 1871781625
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952482572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 TONGASS AVE",
            "address_2": "SUITE 103",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999016013",
            "telephone_number": "907-225-8228",
            "fax_number": "907-225-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 TONGASS AVE",
            "address_2": "SUITE 103",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999016013",
            "telephone_number": "907-225-8228",
            "fax_number": "907-225-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS B. NORDTVEDT, DDS, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NORDTVEDT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-225-8228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DD0 378",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Tellez
• Temsco Helicopters, Inc.
• Kandi Tetley
• Jessica Teune, MS, RDN, LD
• The Manor LLC
• Thomas J Grass DMD LLC (Dr. Thomas J. Grass, DMD)
• Genevieve Thomas
• Gregory Thomas
• Kara E Thomas, LPC
• Laurie Anne Thomas, M.ED

• General Practice Dentistry in Ketchikan, AK
• Providers in Ketchikan, AK by specialty
• General Practice Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.