{"npi":"1174076822","type":"NPI-2","status":"active","name":{"display":"Anchorage Bariatrics, LLC","other":[],"organization_name":"ANCHORAGE BARIATRICS, LLC","authorised_official":"Justin Clark"},"specialty":{"primary_taxonomy":"208600000X","primary_taxonomy_description":"Surgery","slug":"surgery","schema_org_specialty":"Surgical","all":[{"code":"261QM0850X","description":"Adult Mental Health Clinic/Center","primary":false,"state":null,"license":null},{"code":"261QM0855X","description":"Adolescent and Children Mental Health Clinic/Center","primary":false,"state":null,"license":null},{"code":"208600000X","description":"Surgery","primary":true,"state":"AK","license":"1033013"}]},"addresses":[{"purpose":"LOCATION","street_1":"3909 ARCTIC BLVD","city":"ANCHORAGE","state":"AK","postal_code":"995035770","country_code":"US","street_2":"SUITE 101","phone":"9076448446","fax":"9076448448"},{"purpose":"MAILING","street_1":"PO BOX 75039","city":"CHICAGO","state":"IL","postal_code":"606755039","country_code":"US","phone":"8667768150","fax":"3146217276"}],"license":{"state":"AK","number":"1033013"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20160830001318","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"AK","pac_id":"0042505018"}]},"enumeration_date":"2016-07-29","last_updated":"2024-11-05","_meta":{"source":"NPPES","snapshot_date":"2024-11-05","doc_url":"https://findmynpi.com/api"}}