Active NPI
Kenneth Richard Helm, D.D.S.
- Prosthodontics
- Eagle River, AK
National Provider Identifier
1912048679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 949
- Practice address
- 10928 Eagle River Rd
Suite 202
Eagle River, AK 99577-8078 - Phone
- (907) 694-2483
- Fax
- (907) 694-4356
- NPI assigned
- Feb 8, 2007
- Last updated
- Oct 6, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 949 | AK | Primary |
Addresses
Primary practice location
10928 Eagle River Rd
Suite 202
Eagle River, AK 99577-8078
Mailing address
19232 Citation Rd
Eagle River, AK 99577-8416
Phone (907) 694-1866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160203001359 | TX | Order and Referring Only - Dentist | 4587968078 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412553600000",
"number": "1912048679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19232 CITATION RD",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995778416",
"telephone_number": "907-694-1866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10928 EAGLE RIVER RD",
"address_2": "SUITE 202",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995778078",
"telephone_number": "907-694-2483",
"fax_number": "907-694-4356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELM",
"first_name": "KENNETH",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2014-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "AK",
"license": "949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagle River, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.