Individual provider Active NPI

Kathleen Ann Bellant, RDHAP, OMT

  • Dental Hygienist
  • Fairbanks, AK
National Provider Identifier
1750975439
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DENH2014 Issued in AK
Practice address
3180 Peger Rd Ste 210
Fairbanks, AK 99709-5484
Phone
(907) 947-4696
Fax
(833) 744-0046
NPI assigned
Feb 24, 2021
Last updated
May 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DENH2014 AK Primary

Addresses

Primary practice location

3180 Peger Rd Ste 210
Fairbanks, AK 99709-5484

Mailing address

3180 Peger Rd Ste 210
Fairbanks, AK 99709-5484
Phone (907) 947-4696

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address katie@midnightsunmft.com

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

LicenseStateTypeSpecialty
DENH2014AKMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1750975439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 PEGER RD STE 210",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997095484",
            "telephone_number": "907-947-4696",
            "fax_number": "833-744-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 PEGER RD STE 210",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997095484",
            "telephone_number": "907-947-4696",
            "fax_number": "833-744-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLANT",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "credential": "RDHAP, OMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "AK",
            "license": "DENH2014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katie@midnightsunmft.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "3180 Peger Rd Ste 210",
            "city": "Fairbanks",
            "state": "AK",
            "country_code": "US",
            "postal_code": "997095484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.