Active NPI
Anita Prewitt, R.D.H.
- Dental Hygienist
- Fort Wainwright, AK
National Provider Identifier
1386670446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 712
- Practice address
- 1060 Gaffney Rd
Fort Wainwright, AK 99703-5002 - Phone
- (907) 353-5530
- NPI assigned
- Jun 23, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 712 | AK | Primary |
Addresses
Primary practice location
1060 Gaffney Rd
Fort Wainwright, AK 99703-5002
Mailing address
904 Les Rogers Turnaround
North Pole, AK 99705-7635
Phone (907) 488-4392
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 540 | Other | AK | LOCAL ANETHSTETIC AGENTS |
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 |
|---|---|---|---|
| 712 | AK | MD | Veterinarian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386670446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 LES ROGERS TURNAROUND",
"city": "NORTH POLE",
"state": "AK",
"postal_code": "997057635",
"telephone_number": "907-488-4392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 GAFFNEY RD",
"city": "FORT WAINWRIGHT",
"state": "AK",
"postal_code": "997035002",
"telephone_number": "907-353-5530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREWITT",
"first_name": "ANITA",
"name_prefix": "Mrs.",
"credential": "R.D.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "AK",
"license": "712",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOCAL ANETHSTETIC AGENTS",
"identifier": "540",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Wainwright, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.