Healthcare Provider Details
I. General information
NPI: 1487652335
Provider Name (Legal Business Name): ALASKA ORTHOPEDICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/13/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2028 E NORTHERN LIGHTS BLVD
ANCHORAGE AK
99508-4101
US
IV. Provider business mailing address
2028 E NORTHERN LIGHTS BLVD
ANCHORAGE AK
99508-4101
US
V. Phone/Fax
- Phone: 907-279-4832
- Fax: 907-258-4676
- Phone: 907-279-4832
- Fax: 907-258-4676
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | 30874 |
| License Number State | AK |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | 30874 |
| License Number State | AK |
VIII. Authorized Official
Name: MR.
DENNIS
O.
CHRISTENSEN
Title or Position: OWNER
Credential: C.P.O.
Phone: 907-279-4832