Individual provider Active NPI

Kent D Newell, DMD

  • General Practice Dentistry
  • Anchorage, AK
National Provider Identifier
1891957239
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1266 Issued in AK
Practice address
4050 Lake Otis Pkwy
#210
Anchorage, AK 99508-5223
Phone
(907) 562-2820
Fax
(907) 562-6781
NPI assigned
Jun 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1266 AK Primary

Addresses

Primary practice location

4050 Lake Otis Pkwy
#210
Anchorage, AK 99508-5223

Mailing address

4050 Lake Otis Pkwy
#210
Anchorage, AK 99508-5223
Phone (907) 562-2820

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
1266AKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Dentistry General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1891957239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 LAKE OTIS PKWY",
            "address_2": "#210",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085223",
            "telephone_number": "907-562-2820",
            "fax_number": "907-562-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 LAKE OTIS PKWY",
            "address_2": "#210",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085223",
            "telephone_number": "907-562-2820",
            "fax_number": "907-562-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWELL",
        "first_name": "KENT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "1266",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 26, 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.

Verify at the official NPI Registry.