Southhouse Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

1380 Issued in AK

Legal business name

SOUTHHOUSE DENTAL, LLC

Doing business as

K-Beach Dental Group

Practice address

36892 Mallard Rd
Kenai, AK 99611-6434

Phone

(900) 728-3921

Fax

(907) 283-3184

NPI assigned

Mar 20, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy Scott Sorhus, DDSNPI 1831250042

Title

Owner/Dentist

Phone

(406) 781-7509

Specialties & licenses 1

Addresses

Other names 1

• K-Beach Dental Group Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremy Scott Sorhus, DDS

  • General Practice Dentistry
  • Kenai, AK
  • NPI 1831250042
  NPD Authorized official
• Yung Han Nam, DDS

  • Dentist
  • Kenai, AK
  • NPI 1407247455
  NPD (past)

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1306340849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 TRADING BAY RD STE 280",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996117781",
            "telephone_number": "907-335-0363",
            "fax_number": "907-335-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36892 MALLARD RD",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996116434",
            "telephone_number": "900-728-3921",
            "fax_number": "907-283-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHHOUSE DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "SORHUS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "406-781-7509",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AK",
            "license": "1380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "K-Beach Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie Smith
• Samuel Nathan Smith
• Snowder Chiropractic Clinic, Inc
• Jeremy Scott Sorhus, DDS
• South Peninsula Hospital Kenai Clinic
• Terrallyn W Spencer
• Spinal-Care Incorporated (Koob Chiropractic)
• Patricia A. Springer-Hann
• Leah Marie Stanford
• Alyssa Nicole Stanton

• Dental Clinic/Center in Kenai, AK
• Providers in Kenai, AK by specialty
• Dental Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.