Active NPI
Samuel Thorp
- Home Modifications Contractor
- Juneau, AK
National Provider Identifier
1154606580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- 26047
- Practice address
- 2000 Anka St
Juneau, AK 99801-7249 - Phone
- (907) 463-4491
- Fax
- (907) 463-4499
- NPI assigned
- Oct 17, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | 26047 | AK | Primary |
Addresses
Primary practice location
2000 Anka St
Juneau, AK 99801-7249
Mailing address
2000 Anka St
Juneau, AK 99801-7249
Phone (907) 463-4491
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26047 | AK | MD | Home Modifications Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318809600000",
"number": "1154606580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 ANKA ST",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998017249",
"telephone_number": "907-463-4491",
"fax_number": "907-463-4499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 ANKA ST",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998017249",
"telephone_number": "907-463-4491",
"fax_number": "907-463-4499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORP",
"first_name": "SAMUEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-17",
"last_updated": "2011-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "AK",
"license": "26047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Juneau, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.