Individual provider Active NPI

Kenneth Richard Helm, D.D.S.

  • Prosthodontics
  • Eagle River, AK
National Provider Identifier
1912048679
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
949 Issued in AK
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, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160203001359 TX Order and Referring Only - DentistPractitioner - 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

Verify at the official NPI Registry.