Active NPI
Bryan J Enghirst, DDS
- General Practice Dentistry
- Eagle River, AK
National Provider Identifier
1699950451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1146
- Practice address
- 11431 Business Blvd Ste 5
Eagle River, AK 99577-7738 - Phone
- (907) 696-2875
- NPI assigned
- Dec 28, 2007
- Last updated
- Jun 17, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1146 | AK | Primary |
Addresses
Primary practice location
11431 Business Blvd Ste 5
Eagle River, AK 99577-7738
Mailing address
11431 Business Blvd Ste 5
Eagle River, AK 99577-7738
Phone (907) 696-2875
Other names 1
- Dr. Bryan J Hirst
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1146 | AK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chun Piu Man, Inc. | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213660800000",
"number": "1699950451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11431 BUSINESS BLVD STE 5",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995777738",
"telephone_number": "907-696-2875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11431 BUSINESS BLVD STE 5",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995777738",
"telephone_number": "907-696-2875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGHIRST",
"first_name": "BRYAN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-28",
"last_updated": "2008-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AK",
"license": "1146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRYAN",
"last_name": "HIRST",
"middle_name": "J",
"prefix": "DR.",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Eagle River, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.