Active NPI
Homer Dental Center Inc
- Dentist
- Homer, AK
National Provider Identifier
1962778001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 692
- Legal business name
- HOMER DENTAL CENTER INC
- Practice address
- 4014 Lake St.
Ste 210
Homer, AK 99603 - Phone
- (907) 235-7585
- Fax
- (907) 235-7311
- NPI assigned
- Mar 22, 2012
- Last updated
- Mar 22, 2012
- Organization subpart
- Yes
- Parent organization
- HOMER DENTAL CENTER, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vickey J. Hodnik, D.D.S.
- Title
- Dentist
- Phone
- (907) 235-7585
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 692 | AK | Primary |
Addresses
Primary practice location
4014 Lake St.
Ste 210
Homer, AK 99603
Mailing address
4014 Lake St.
Ste. 210
Homer, AK 99603
Phone (907) 235-7585
National Provider Directory
National Provider Directory- Part of
- Homer Dental Center Inc
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Homer, AK
- NPI 1427277359
-
- General Practice Dentistry
- Homer, AK
- NPI 1497130926
-
- General Practice Dentistry
- Bloomington, MN
- NPI 1396817482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332374400000",
"number": "1962778001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4014 LAKE ST.",
"address_2": "STE. 210",
"city": "HOMER",
"state": "AK",
"postal_code": "99603",
"telephone_number": "907-235-7585",
"fax_number": "907-235-7311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4014 LAKE ST.",
"address_2": "STE 210",
"city": "HOMER",
"state": "AK",
"postal_code": "99603",
"telephone_number": "907-235-7585",
"fax_number": "907-235-7311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMER DENTAL CENTER INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HOMER DENTAL CENTER, INC.",
"enumeration_date": "2012-03-22",
"last_updated": "2012-03-22",
"status": "A",
"authorized_official_last_name": "HODNIK",
"authorized_official_first_name": "VICKEY",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "907-235-7585",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AK",
"license": "692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.