Darian MCL Erik, PRIMARY DENTAL HEALT

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

49 West Housing Road
Ykhc Chefornak Clinic
Chefornak, AK 99561-0049

Phone

(907) 867-8922

Fax

(907) 867-8717

NPI assigned

Dec 4, 2012

Last updated

Dec 4, 2012By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1821333790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 528",
            "address_2": "YKHC",
            "city": "BETHEL",
            "state": "AK",
            "postal_code": "995590528",
            "telephone_number": "907-543-6229",
            "fax_number": "907-543-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 WEST HOUSING ROAD",
            "address_2": "YKHC CHEFORNAK CLINIC",
            "city": "CHEFORNAK",
            "state": "AK",
            "postal_code": "995610049",
            "telephone_number": "907-867-8922",
            "fax_number": "907-867-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERIK",
        "first_name": "DARIAN",
        "middle_name": "MCL",
        "credential": "PRIMARY DENTAL HEALT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jofina M Avugiak
• Patrice C Carl
• Theresa Fairbanks
• Adeline Wiseman
• Sophie Wiseman

• Other Technician in Chefornak, AK
• Providers in Chefornak, AK by specialty
• Other Technician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.