Kevin M Easley DMD PC

Primary specialty

DentistTaxonomy code 122300000X

License

994 Issued in AK

Legal business name

KEVIN M EASLEY DMD PC

Practice address

330 E Tudor Rd
Anchorage, AK 99503-7369

Phone

(907) 248-0022

Fax

(907) 206-3905

NPI assigned

Apr 4, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Kevin M Easley, DMDNPI 1821006347

Title

President

Phone

(907) 248-0022

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin M. Easley, D.M.D.

  • Dentist
  • Anchorage, AK
  • NPI 1821006347
  NPD Authorized official

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1841533155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E TUDOR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995037369",
            "telephone_number": "907-248-0022",
            "fax_number": "907-677-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E TUDOR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995037369",
            "telephone_number": "907-248-0022",
            "fax_number": "907-206-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN M EASLEY DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-04",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "EASLEY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-248-0022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AK",
            "license": "994",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linden Jane Ketchum, BA
• Corey Kettering
• Ashley Kettler, O.D.
• Ketz Chiropractic LLC
• Kelly Lee Ketz, D.C.
• Kevin M Tomera MD Inc
• Keystone Chiropractic PC
• Galimat Khaidakova, MD
• Dawn M Khalil
• Kham Assisted Living Home

• Dentist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Dentist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.