Kenneth Herbert Alfortish, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

4524 Issued in LA

Practice address

517 Whitney Ave
Gretna, LA 70056

Phone

(504) 368-2792

Fax

(507) 368-2827

NPI assigned

Aug 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Kenneth H Alfortish DDS Apdc

  • Dental Clinic/Center
  • Gretna, LA
  • NPI 1720465776
  NPD (past) Authorized official
• Dr. Kenneth E. Alfortish LTD.

  • Dentist
  • Gretna, LA
  • NPI 1265440507
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689681348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 WHITNEY AVE",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "70056",
            "telephone_number": "504-368-2792",
            "fax_number": "507-368-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 WHITNEY AVE",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "70056",
            "telephone_number": "504-368-2792",
            "fax_number": "507-368-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFORTISH",
        "first_name": "KENNETH",
        "middle_name": "HERBERT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "4524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Rae Alexander, M.S., CCC-SLP
• Mandi Alexander, LPC, CRC
• Tierra Alexander, LMSW
• James Alexis
• Kenneth Edward Alfortish, DDS
• Kirsten Helene Alfortish, DDS
• Align Chiropractic, LLC
• Aligned Behavior Method, LLC
• All About You Transportation
• All Smiles Dental LLC

• Dentist in Gretna, LA
• Providers in Gretna, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.