ERIC NORDSTROM DDS, MD, INC
NPI 1285410340
Clinic/Center - Ambulatory Surgical in Anchorage, AK

NPI Status: Active since September 05, 2023

Contact Information

3909 ARCTIC BLVD STE 404
ANCHORAGE, AK
ZIP 99503
Phone: (907) 222-5052
Fax: (907) 222-5051

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 02D2173950
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 10-21-2027

About ERIC NORDSTROM DDS, MD, INC

This page provides the complete NPI Profile along with additional information for Eric Nordstrom Dds, Md, Inc, a provider established in Anchorage, Alaska operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1285410340 assigned on September 2023. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated one year ago. Eric Nordstrom Dds, Md, Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Dr. Eric Nordstrom Md, Dds (Medical Director)

NPI
1285410340
Provider Legal Name
ERIC NORDSTROM DDS, MD, INC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
3909 ARCTIC BLVD STE 404 ANCHORAGE, AK 99503
Location Phone
(907) 222-5052
Location Fax
(907) 222-5051
Mailing Address
3909 ARCTIC BLVD STE 404 ANCHORAGE, AK 99503
Mailing Phone
(907) 222-5052
Mailing Fax
(907) 222-5051
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-05-2023
Last Update Date
07-25-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163W00000XNursing Service Providers

Registered Nurse

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ERIC NORDSTROM MD, DDS

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(907) 222-5052

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
02D2173950
Facility Type
Practitioner Other
Certificate Effective Date
October 22, 2025
Certificate Expiration Date
October 21, 2027
Laboratory Director
DR. ERIC M. NORDSTROM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Eric Nordstrom Dds, Md, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1285410340, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
5
Unchanged
Pos 5
4
Doubled → 8
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
3
Unchanged
Pos 9
4
Doubled → 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 4 → 8 0 → 0 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 6 + 5 + 8 + 1 + 0 + 3 + 8 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1285410340.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Oral & Maxillofacial Surgery
3909 ARCTIC BLVD STE 404
ANCHORAGE, AK 99503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285410340, enumerated as an "organization" on September 05, 2023.

The provider is located at 3909 ARCTIC BLVD STE 404 ANCHORAGE, AK 99503 and the phone number is (907) 222-5052.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.