Active NPI
Kristofor A Sargent
- Family Medicine Physician
- Anchorage, AK
National Provider Identifier
1912133588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MEDS7393
- Practice address
- 1201 E 36TH Ave
Anchorage, AK 99508-4372 - Phone
- (907) 562-9229
- NPI assigned
- Jun 9, 2009
- Last updated
- Mar 12, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 5181 | AK | |
| Family Medicine Physician | 207Q00000X | MEDS7393 | AK | Primary |
Addresses
Primary practice location
1201 E 36TH Ave
Anchorage, AK 99508-4372
Mailing address
PO Box 196276
Anchorage, AK 99519-6276
Phone (907) 212-6522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MEDS7393 | AK | MD | Family Medicine Physician |
| 5181 | AK | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520812800000",
"number": "1912133588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 196276",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995196276",
"telephone_number": "907-212-6522",
"fax_number": "907-212-6593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 E 36TH AVE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084372",
"telephone_number": "907-562-9229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARGENT",
"first_name": "KRISTOFOR",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-09",
"last_updated": "2018-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AK",
"license": "5181",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AK",
"license": "MEDS7393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
- Anna Sappah, LPC-S
- Natalia Saprykina, M.D.
- Sarah E Allen DC LLC (Fostering Wellness Chiropractic)
- Sarah H Leavitt, LPC, LLC (Counseling Anchorage)
- Laura Long Sarcone, CNM, ANP
- Silvia Adriana Sarmiento Mendoza, LMT
- Megan Sarnecki, MD
- Sebastian Joseph Sarnowski, BCBA, MA, LBA
- Mary Sarrantonio, M.D.
- Cassandra Marie Sas, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.