Katherine Gronn, R.D.H.

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

112742 Issued in AK

Practice address

3449 E Rezanof Dr
Dental Department
Kodiak, AK 99615-6952

Phone

(907) 486-9800

NPI assigned

Jul 5, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1477905206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3449 E REZANOF DR",
            "address_2": "DENTAL DEPARTMENT",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156952",
            "telephone_number": "907-486-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3449 E REZANOF DR",
            "address_2": "DENTAL DEPARTMENT",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156952",
            "telephone_number": "907-486-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONN",
        "first_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "R.D.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "AK",
            "license": "112742",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "AK",
            "license": "112743",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Gordon, MSW
• Michael Louis Gray, HEALTH SERVICES TECH
• Jerritt Gerry Green, HEALTH SERVICES TECH
• Laura Lynette Griffin, BACHELORS OF SCIENCE
• Chelsea Grimstad
• Brent Lawrence Guard
• Juan C Guevara
• Mary Angelica Guilas-Hawver, MA, CDCI
• Hannah Faith Halfhill
• Christopher Shane Hall

• Dental Hygienist in Kodiak, AK
• Providers in Kodiak, AK by specialty
• Dental Hygienist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.