Organization Active NPI

Enghirst Corporation

  • Dental Clinic/Center
  • Eagle River, AK
National Provider Identifier
1154581718
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1146 Issued in AK
Legal business name
ENGHIRST CORPORATION
Practice address
11431 Business Blvd # 5
Eagle River, AK 99577-7722
Phone
(907) 696-2875
Fax
(907) 696-2878
NPI assigned
Jun 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Bryan J Enghirst, DDS
Title
Dentist / Owner / President
Phone
(907) 696-2875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 1146 AK Primary

Addresses

Primary practice location

11431 Business Blvd # 5
Eagle River, AK 99577-7722

Mailing address

11431 Business Blvd # 5
Eagle River, AK 99577-7722
Phone (907) 696-2875

Other names 1

  • Eagle River Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

11431 Business Blvd
#5
Eagle River, AK 99577
Phone (907) 696-2875

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1154581718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11431 BUSINESS BLVD # 5",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777722",
            "telephone_number": "907-696-2875",
            "fax_number": "907-696-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11431 BUSINESS BLVD # 5",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777722",
            "telephone_number": "907-696-2875",
            "fax_number": "907-696-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGHIRST CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "ENGHIRST",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST / OWNER / PRESIDENT",
        "authorized_official_telephone_number": "907-696-2875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AK",
            "license": "1146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle River Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eagle River, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.