Edwin Henry Allgair Jr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D997 Issued in AK

Practice address

660 Third Ave Ste C
Bethel, AK 99559-0169

Phone

(907) 545-3996

NPI assigned

Apr 4, 2007

Last updated

Aug 13, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Keguta Dental LLC

  • Dental Clinic/Center
  • Bethel, AK
  • NPI 1578999306
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407888000000",
    "number": "1104948884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1051",
            "city": "STERLING",
            "state": "AK",
            "postal_code": "996721051",
            "telephone_number": "206-419-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 THIRD AVE STE C",
            "city": "BETHEL",
            "state": "AK",
            "postal_code": "995590169",
            "telephone_number": "907-545-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLGAIR",
        "first_name": "EDWIN",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2014-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "D997",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00010502",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003258",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wesley C. Alexie
• Alice Shantz (Tundra Suites, LLC)
• Stacy Mae Alick
• Tyrone Aliralria
• Robert John Allen, D.D.S.
• Bessie Aloralrea
• Yvonne Aloralrea
• Elena Aloysius
• Carol Alstrom
• Penny Alstrom, CHA

• Dentist in Bethel, AK
• Providers in Bethel, AK by specialty
• Dentist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.