Active NPI
Devon E Pinkerton
- Developmentally Disabled Services Day Training Agency
- Fairbanks, AK
National Provider Identifier
1386923613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Practice address
- 122 1St Ave Suite 201
Fairbanks, AK 99701-4803 - Phone
- (907) 452-6434
- Fax
- (907) 451-6598
- NPI assigned
- Aug 4, 2011
- Last updated
- Aug 4, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | ||
| Developmentally Disabled Services Day Training Agency | 251C00000X | NU | Primary |
Addresses
Primary practice location
122 1St Ave Suite 201
Fairbanks, AK 99701-4803
Mailing address
122 1St Ave Ste 201
Fairbanks, AK 99701-4871
Phone (907) 452-6434
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adult Learning Programs of Alaska | Day Training, Developmentally Disabled Services | Past | Accepting new patients |
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.
-
- Developmentally Disabled Services Day Training Agency
- Fairbanks, AK
- NPI 1346466802
Day Training, Developmentally Disabled Services
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312416000000",
"number": "1386923613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 1ST AVE STE 201",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997014871",
"telephone_number": "907-452-6434",
"fax_number": "907-451-6598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 1ST AVE SUITE 201",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997014803",
"telephone_number": "907-452-6434",
"fax_number": "907-451-6598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINKERTON",
"first_name": "DEVON",
"middle_name": "E",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-04",
"last_updated": "2011-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.