Active NPI
Kelly Adrian
- Dental Hygienist
- Eagle River, AK
National Provider Identifier
1396116182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DENH2193
- Practice address
- 19436 Laura Lee Cir
Eagle River, AK 99577-8415 - Phone
- (907) 726-1171
- NPI assigned
- Oct 19, 2015
- Last updated
- Oct 19, 2015
- 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 | DENH2193 | AK | Primary |
Addresses
Primary practice location
19436 Laura Lee Cir
Eagle River, AK 99577-8415
Mailing address
19436 Laura Lee Cir
Eagle River, AK 99577-8415
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 |
|---|---|---|---|
| DENH2193 | AK | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445212800000",
"number": "1396116182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19436 LAURA LEE CIR",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995778415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19436 LAURA LEE CIR",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995778415",
"telephone_number": "907-726-1171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADRIAN",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-19",
"last_updated": "2015-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "AK",
"license": "DENH2193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.