OrganizationActive
Derek Green DMD LLC
NPI 1578130175 · General Practice Dentistry · Anchorage, AK
Derek Green DMD LLC is a General Practice Dentistry organization in Anchorage, AK (NPI 1578130175).
Provider details
- NPI number
- 1578130175
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Derek Green DMD LLC
- Organization subpart
- Yes
- Authorized official
- Derek Green, Owner(480) 370-0696
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4361 Boniface Pkwy
Anchorage, AK 99504-4314
Phone: (907) 333-1211
Fax: (907) 743-2925
Street-level locationGet directions
Mailing address
4361 Boniface Pkwy
Anchorage, AK 99504-4314
Registry dates
- Enumerated
- 2021-06-10
- Last updated
- 2021-06-10
- Certified
- 2021-06-10
Frequently asked questions
- What is Derek Green DMD LLC's NPI number?
- Derek Green DMD LLC's National Provider Identifier (NPI) is 1578130175, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Derek Green DMD LLC?
- Derek Green DMD LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Derek Green DMD LLC located?
- Derek Green DMD LLC's practice location on file with NPPES is 4361 Boniface Pkwy, Anchorage, AK 99504-4314.
- What is Derek Green DMD LLC's phone number?
- The practice phone number listed in the NPPES registry for Derek Green DMD LLC is (907) 333-1211.
- Who is the authorized official for Derek Green DMD LLC?
- The authorized official listed on Derek Green DMD LLC's NPPES record is Derek Green, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Derek Green DMD LLC's NPI active?
- Yes — Derek Green DMD LLC's NPI (1578130175) is active in the NPPES registry as of the last update on 2021-06-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.