NPIMap

Organization Active NPI

Kenneth R Pervier, MD, LLC

  • Neurology Physician
  • Anchorage, AK
National Provider Identifier
1568633279
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2064 Issued in AK
Legal business name
KENNETH R PERVIER, MD, LLC
Practice address
2741 Debarr Rd
Suite C-310
Anchorage, AK 99508-2961
Phone
(907) 276-0222
Fax
(907) 276-0266
NPI assigned
Mar 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Dr. Kenneth Raymond Pervier, M.D.
Title
Owner
Phone
(907) 276-0222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 2064 AK Primary

Addresses

Primary practice location

2741 Debarr Rd
Suite C-310
Anchorage, AK 99508-2961

Mailing address

2741 Debarr Rd
Suite C-310
Anchorage, AK 99508-2961
Phone (907) 276-0222

National Provider Directory

National Provider Directory

Locations

2751 Debarr Rd
Ste 390
Anchorage, AK 99508
Phone (907) 274-7977

2741 Debarr Rd
Ste C310
Anchorage, AK 99508
Phone (907) 276-0222

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1568633279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 DEBARR RD",
            "address_2": "SUITE C-310",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082961",
            "telephone_number": "907-276-0222",
            "fax_number": "907-276-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 DEBARR RD",
            "address_2": "SUITE C-310",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082961",
            "telephone_number": "907-276-0222",
            "fax_number": "907-276-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH R PERVIER, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "PERVIER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-276-0222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AK",
            "license": "2064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.