Jesse George Hronkin, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1123 Issued in AK

Practice address

936 E Westpoint Dr
Wasilla, AK 99654-7137

Phone

(907) 373-2232

Fax

(907) 373-2439

NPI assigned

Oct 24, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alaska Cosmedic Dental Center

  • General Practice Dentistry
  • Wasilla, AK
  • NPI 1770691172
  NPD (past) Authorized official

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224806400000",
    "number": "1679726442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 E WESTPOINT DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547137",
            "telephone_number": "907-373-2232",
            "fax_number": "907-373-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 E WESTPOINT DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547137",
            "telephone_number": "907-373-2232",
            "fax_number": "907-373-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRONKIN",
        "first_name": "JESSE",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-24",
        "last_updated": "2008-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "1123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DD11231",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Houston, MSW
• Crystal Kay Howard
• Travis B Howells, MS
• Howling Down the Moon
• Steven Hrin, PSYD
• Steven John Hubacek, DDS
• Laurie Hubbard
• Aubrey Elizabeth Hudson
• Amanda Hughes
• Jackie Hughes

• General Practice Dentistry in Wasilla, AK
• Providers in Wasilla, AK by specialty
• General Practice Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.