Active NPI
Kenneth Raymond Pervier, M.D.
- Neurology Physician
- Anchorage, AK
National Provider Identifier
1801814199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 2064
- Practice address
- 2741 Debarr Rd
Suite C-310
Anchorage, AK 99508-2953 - Phone
- (907) 276-0222
- Fax
- (907) 276-0266
- NPI assigned
- Jul 17, 2006
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 2064 | AK | Primary |
Addresses
Primary practice location
2741 Debarr Rd
Suite C-310
Anchorage, AK 99508-2953
Mailing address
2741 Debarr Rd
Suite C-310
Anchorage, AK 99508-2953
Phone (907) 276-0222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD20644 | Medicaid | AK |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207094400000",
"number": "1801814199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2741 DEBARR RD",
"address_2": "SUITE C-310",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995082953",
"telephone_number": "907-276-0222",
"fax_number": "907-276-0266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2741 DEBARR RD",
"address_2": "SUITE C-310",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995082953",
"telephone_number": "907-276-0222",
"fax_number": "907-276-0266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERVIER",
"first_name": "KENNETH",
"middle_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2008-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "AK",
"license": "2064",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD20644",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.