Organization Active NPI

Harbor View Dental Care, LLC

  • Pediatric Dentistry
  • Juneau, AK
National Provider Identifier
1467726463
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
HARBOR VIEW DENTAL CARE, LLC
Practice address
712 W 12TH St
Juneau, AK 99801-1574
Phone
(907) 586-1188
Fax
(907) 586-4408
NPI assigned
Mar 8, 2012
Last updated
Mar 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Authorized official

Name
Jay Larry Call, DMD
Title
Business Manager
Phone
(907) 602-4124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X AK Primary

Addresses

Primary practice location

712 W 12TH St
Juneau, AK 99801-1574

Mailing address

712 W 12TH St
Juneau, AK 99801-1574
Phone (907) 586-1188

Other identifiers 1

IdentifierTypeStateIssuer
DD0082MedicaidAK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1467726463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 W 12TH ST",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998011574",
            "telephone_number": "907-586-1188",
            "fax_number": "907-586-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 W 12TH ST",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998011574",
            "telephone_number": "907-586-1188",
            "fax_number": "907-586-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR VIEW DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "CALL",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "LARRY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "907-602-4124",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DD0082",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Juneau, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.