Active NPI
Amanda Linn Kempainen, DMD
- Dentist
- Eagle River, AK
National Provider Identifier
1215559745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 239135
- Practice address
- 12641 Old Glenn Hwy Ste 104204
Eagle River, AK 99577-7039 - Phone
- (907) 622-7874
- NPI assigned
- May 6, 2020
- Last updated
- Aug 20, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12192582-9921 | UT | |
| General Practice Dentistry | 1223G0001X | 12192582-9924 | UT | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 239135 | AK | Primary |
Addresses
Primary practice location
12641 Old Glenn Hwy Ste 104204
Eagle River, AK 99577-7039
Mailing address
8 Moen Dr
Chazy, NY 12921-3421
Phone (518) 569-9773
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Murray | ||
| Other URL | N/A |
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 |
|---|---|---|---|
| 239135 | AK | MD | Dentist |
| 12192582-9921 | UT | MD | General Practice Dentistry |
| 12192582-9924 | UT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S. Michael Vaughan DMD PLLC | Current | Accepting new patients |
Locations
5872 S 900 E
Ste 252
Murray, UT 84121
Phone (801) 278-3214
Networks
- UT PPO D-SNP
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1215559745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 MOEN DR",
"city": "CHAZY",
"state": "NY",
"postal_code": "129213421",
"telephone_number": "518-569-9773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12641 OLD GLENN HWY STE 104204",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995777039",
"telephone_number": "907-622-7874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMPAINEN",
"first_name": "AMANDA",
"middle_name": "LINN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-06",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "UT",
"license": "12192582-9921",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "UT",
"license": "12192582-9924",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AK",
"license": "239135",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Murray",
"affiliation": "N",
"address_1": "5872 S 900 E Ste 252",
"city": "Murray",
"state": "UT",
"country_code": "US",
"postal_code": "841211678",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "N/A",
"affiliation": "N",
"address_1": "12641 Old Glenn Hwy Ste 104204",
"city": "Eagle River",
"state": "AK",
"country_code": "US",
"postal_code": "995777039",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.