PETE B. HIGGINS DDS LLC (NPI# 1568540946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568540946 |
| Entity Type | Organization |
| Organization Name | PETE B. HIGGINS DDS LLC |
| Other Organization Name | FOUR CORNERS DENTAL GROUP |
| Practice Address |
3901 Raspberry Rd Anchorage AK 99502-1973 |
| Practice Telephone | 9072583384 |
| Practice Fax Number | 9072583390 |
| Mailing Telephone | 9072583384 |
| Mailing Fax Number | 9072583390 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2014-05-12 |
| Authorized Official Name | PETE B HIGGINS (DENTIST) |
| Authorized Official Telephone | 9072583384 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
1012 | AK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | DD10121 | 05 |
| Other Name | Type Code |
|---|---|
| Four Corners Dental Group | Doing Business As Name - Organization |
| Street Address |
3901 RASPBERRY RD |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99502-1973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407038755 | Pete B. Higgins | Dentist | 3901 Raspberry Rd, Anchorage, AK 99502-1973 | 2007-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073157897 | Thelma Desjarlais | Case Manager/Care Coordinator | 9201 Shorecrest Drive, Anchorage, AK 99502 | 2019-11-05 |
| 1659851038 | Vonice LLC | Pharmacy | 4311 W Lake Cir, Anchorage, AK 99502 | 2018-08-15 |
| 1447736798 | Kelly Wilson | Assisted Living Facility | 8848 Gloralee St, Anchorage, AK 99502 | 2018-07-18 |
| 1912405770 | In His Image LLC | Custodial Care Facility | 2253 Mistybrook Cir, Anchorage, AK 99502 | 2018-01-26 |
| 1316344963 | Alaska Regional Life Flight Corporation | Ambulance | 3474 Old International Airport Road, Anchorage, AK 99502 | 2014-11-25 |
| 1164827101 | Dante Kun | Counselor | 8000 West End Rd. (pt. Woronzof), Anchorage, AK 99502 | 2014-11-04 |
| 1407256357 | Kayli Ellingson | Pharmacist | 7020 Northwood Drive, 102, Anchorage, AK 99502 | 2014-08-28 |
| 1801168620 | Mckenzie Assisted Living | Clinic/Center | 8812 Hamlet Circle, 8812 Hamlet Circle, Anchorage, AK 99502 | 2012-02-09 |
| 1568623106 | South Anchorage Dental Clinic LLC | Dental Assistant | 9170 Jewel Lake Road, Suite 201, Anchorage, AK 99502 | 2008-06-17 |
| 1154580611 | Tonia Marie Taylor | Assisted Living Facility | 2821 Ruby Drive, Anchorage, AK 99502 | 2008-06-09 |
| Find all providers in zip 99502 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011593 | Deyoung Dentistry, LLC | Clinic/Center | 2601 Boniface Parkway Suite 1, Anchorage, AK 99504 | 2020-07-29 |
| 1205461084 | Hawkinson Dental Inc | Clinic/Center | 6200 Lake Otis Pkwy Ste 101, Anchorage, AK 99507-2098 | 2020-03-11 |
| 1932664877 | Alaska Family Dental LLC | Clinic/Center | 405 W 36th Ave Ste 101, Anchorage, AK 99503-5872 | 2019-02-05 |
| 1659862134 | Evelyn Haley Dmd | Clinic/Center | 615 E 82nd Ave Ste 100, Anchorage, AK 99518-3100 | 2018-05-21 |
| 1154672558 | Mabry and Mabry Dentistry, LLC | Clinic/Center | 2601 Boniface Pkwy Ste 1, Anchorage, AK 99504-3144 | 2012-09-25 |
| 1912179094 | Warren Urda Dds | Clinic/Center | 237 E Fireweed Ln Ste 101, Anchorage, AK 99503-2000 | 2008-03-28 |
| 1649348723 | Huffman Family Dentistry LLC | Clinic/Center | 12350 Industry Way #210, Anchorage, AK 99515 | 2006-11-30 |
| 1003415696 | Ryan, LLC | Clinic/Center | 1310 E Dimond Blvd Ste 3, Anchorage, AK 99515-2031 | 2020-10-23 |
| 1972150365 | Anchorage Camai Dental Clinic, LLC | Clinic/Center | 4361 Boniface Pkwy, Anchorage, AK 99504-4314 | 2019-08-21 |
| 1942865761 | Chugach Dental, LLC | Clinic/Center | 9138 Arlon St Ste B3, Anchorage, AK 99507-3876 | 2019-05-07 |
| Find all providers in ANCHORAGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.