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DEREK GREEN DMD LLC
NPI 1578130175
Dentist - General Practice in Anchorage, AK

Active since June 10, 2021
4361 BONIFACE PKWY, ANCHORAGE, AK 99504(907) 333-1211(907) 743-2925 Get Directions Write a Review

NPPES record last updated: June 10, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Derek Green Dmd Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEREK GREEN DMD LLC (NPI 1578130175) is a healthcare organization registered as a general practice in Anchorage, Alaska and active in the NPI registry since June 2021. The organization lists Derek Thomas Green, Owner, as its authorized official.

NPPES Registry Identity

NPI1578130175
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDEREK GREEN DMD LLC
Location Address4361 BONIFACE PKWYAnchorage, AK 99504-4314
Mailing Address4361 Boniface PkwyAnchorage, AK 99504-4314 · (907) 333-1211 · Fax (907) 743-2925
Phone(907) 333-1211
Fax(907) 743-2925
Organization SubpartYes
Authorized OfficialDerek Thomas GreenOwner · (480) 370-0696
Enumeration DateJune 10, 2021
NPPES CertifiedJune 10, 2021
✔ NPI 1578130175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4361 BONIFACE PKWY, Anchorage, AK 99504
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Other Identifiers 1

Medicaid1684562AK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAMILY MEDICAL DENTAL CENTER OF ALASKA INC
Dentist (General Practice)
4361 BONIFACE PKWY
ANCHORAGE, AK 99504
Anchorage Municipality (907) 333-1211
DR. LAUREN GAGLIANO DDS
Dentist (General Practice)
4361 BONIFACE PKWY
ANCHORAGE, AK 99504
Anchorage Municipality (907) 333-1211
DR. CLINTON C HENRIE
Dentist (General Practice)
4361 BONIFACE PKWY
ANCHORAGE, AK 99504
Anchorage Municipality (907) 333-1211
FAMILY MEDICAL DENTAL CENTER LLC
Dentist (General Practice)
4361 BONIFACE PKWY
ANCHORAGE, AK 99504
Anchorage Municipality (907) 333-1211
REYNALDA M DE GUZMAN LLC
Clinic/Center
4361 BONIFACE PKWY
ANCHORAGE, AK 99504
Anchorage Municipality (907) 333-1212
DR. JESSE DAVID OSTBY D.D.S.
Dentist
4361 BONIFACE PKWY
ANCHORAGE, AK 99504
Anchorage Municipality (907) 333-1211
DR. DANIELLE M LARUE
Dentist (General Practice)
4361 BONIFACE PKWY
ANCHORAGE, AK 99504
Anchorage Municipality (907) 333-1211
DR. REYNALDA M DEGUZMAN M.D.
General Practice
4361 BONIFACE PKWY
ANCHORAGE, AK 99504
Anchorage Municipality (907) 333-1211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derek Green Dmd LLC's NPI number?

The NPI number for Derek Green Dmd LLC is 1578130175. It was assigned to this organization in the NPPES registry on June 10, 2021.

Where is Derek Green Dmd LLC located?

Derek Green Dmd LLC is located at 4361 Boniface Pkwy, Anchorage, AK 99504. The listed phone number is (907) 333-1211.

What is Derek Green Dmd LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Derek Green Dmd LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and UnitedHealthcare list Derek Green Dmd LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Derek Green Dmd LLC was last updated on June 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.