Active NPI
Xenia M. Sergie-Shavings, PRIMARY DENTAL HEALT
- Other Technician
- Mekoryuk, AK
National Provider Identifier
1740629344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 43 Chase Road
Mekoryuk, AK 99630 - Phone
- (907) 827-8111
- Fax
- (907) 827-8351
- NPI assigned
- Jun 18, 2013
- Last updated
- Jun 18, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
43 Chase Road
Mekoryuk, AK 99630
Mailing address
PO Box 43
Mekoryuk, AK 99630
Phone (907) 827-8111
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371513600000",
"number": "1740629344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 43",
"city": "MEKORYUK",
"state": "AK",
"postal_code": "99630",
"telephone_number": "907-827-8111",
"fax_number": "907-827-8351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 CHASE ROAD",
"city": "MEKORYUK",
"state": "AK",
"postal_code": "99630",
"telephone_number": "907-827-8111",
"fax_number": "907-827-8351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERGIE-SHAVINGS",
"first_name": "XENIA",
"middle_name": "M.",
"name_prefix": "Mrs.",
"credential": "PRIMARY DENTAL HEALT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-18",
"last_updated": "2013-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mekoryuk, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.