NPIMap

Organization Active NPI

Robert D. Dingeman, MD

  • Medical Specialty Clinic/Center
  • Fairbanks, AK
National Provider Identifier
1992814099
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
AK2137 Issued in AK
Legal business name
ROBERT D. DINGEMAN, MD
Practice address
751 Old Richardson Hwy
Suite 101
Fairbanks, AK 99701-7813
Phone
(907) 452-2663
Fax
(907) 456-3033
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert Denison Dingeman, M.D.NPI 1114028602
Title
Owner
Phone
(907) 452-2663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X AK2137 AK Primary

Addresses

Primary practice location

751 Old Richardson Hwy
Suite 101
Fairbanks, AK 99701-7813

Mailing address

751 Old Richardson Hwy
Suite 101
Fairbanks, AK 99701-7813
Phone (907) 452-2663

Other identifiers 1

IdentifierTypeStateIssuer
MD9915MedicaidAK

Other names 1

  • Orthopedic Surgery Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992814099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 OLD RICHARDSON HWY",
            "address_2": "SUITE 101",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017813",
            "telephone_number": "907-452-2663",
            "fax_number": "907-456-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 OLD RICHARDSON HWY",
            "address_2": "SUITE 101",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017813",
            "telephone_number": "907-452-2663",
            "fax_number": "907-456-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT D. DINGEMAN, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DINGEMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DENISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-452-2663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AK",
            "license": "AK2137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD9915",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopedic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairbanks, AK

Sources for this page

  • 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.