RHETT ALLEN BERG (NPI# 1346703501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346703501 |
Entity Type | Individual |
Full Name | RHETT ALLEN BERG |
Credential | DDS |
Practice Address |
3245 Hospital Dr Juneau AK 99801-7809 |
Mailing Address |
1606 12th Ave Apt 1 San Francisco CA 94122-3520 |
Practice Telephone | 9074634041 |
Mailing Telephone | 5416802023 |
Enumeration Date | 2019-04-12 |
Last Update Date | 2019-04-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
3245 HOSPITAL DR |
City | JUNEAU |
State | AK |
Zip Code | 99801-7809 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538167044 | Timothy H Strand | Optometrist | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2005-07-08 |
1770105579 | Dillon J Covey | Student in an Organized Health Care Education/Training Program | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2020-05-14 |
1114552304 | Rachel Noelani Jahraus | Student in an Organized Health Care Education/Training Program | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2020-03-08 |
1134782550 | Danna Madeline Lehneis | Student in an Organized Health Care Education/Training Program | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2019-04-22 |
1366936304 | Kaela Burke | Community Health Worker | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2018-06-21 |
1346781291 | Rochell Burke | Dentist | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2017-03-12 |
1083153134 | Kristin Johanson | Community Health Worker | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2017-02-21 |
1760840110 | Kelly O'shaughnessy | Dentist | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2016-01-31 |
1871950386 | Sarah Frampton | Dentist | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2016-01-28 |
1003281866 | Sabrina Marie Beierly Vick | Dental Therapist | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2015-12-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225652407 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1600 Renninger St, Juneau, AK 99801 | 2020-06-03 |
1316561590 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2901 Riverside Dr, Juneau, AK 99801 | 2020-06-03 |
1366066540 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3400 Tongass Blvd, Juneau, AK 99801 | 2020-06-03 |
1134743313 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3800 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
1235753419 | Juneau Youth Services, Inc. | Community/Behavioral Health | 9001 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
1043834245 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Loop Rd, Juneau, AK 99801 | 2020-06-03 |
1295359511 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10801 Black Bear Rd, Juneau, AK 99801 | 2020-06-02 |
1700400033 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-02 |
1831733351 | Monalisa Vaolete Lauofo | Counselor | 5594 Aisek Street, Juneau, AK 99801 | 2019-10-29 |
1245873033 | Ryan Isadore | Counselor | 1613 Anka Street, Juneau, AK 99801 | 2019-10-24 |
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Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629438221 | Maria Zoe Sarah Corkery | Student in an Organized Health Care Education/Training Program | 3100 Channel Dr. Ste 300, Searhc, Juneau, AK 99801 | 2016-02-25 |
1770105579 | Dillon J Covey | Student in an Organized Health Care Education/Training Program | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2020-05-14 |
1992327886 | Deborah Lee | Student in an Organized Health Care Education/Training Program | 225 Front St, Juneau, AK 99801-1244 | 2020-05-13 |
1114552304 | Rachel Noelani Jahraus | Student in an Organized Health Care Education/Training Program | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2020-03-08 |
1134782550 | Danna Madeline Lehneis | Student in an Organized Health Care Education/Training Program | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2019-04-22 |
1871033175 | Haley Ray Grote | Student in an Organized Health Care Education/Training Program | 199 County Road Df Fl 3, Juneau, WI 53039-9512 | 2017-03-06 |
1053677021 | John Paul Block | Student in an Organized Health Care Education/Training Program | 3100 Channel Dr, Suite 300, Juneau, AK 99801-7837 | 2012-04-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356949622 | Adam Weis | Student in an Organized Health Care Education/Training Program | 3112 Airport Way Ste 1, Fairbanks, AK 99709-4768 | 2020-10-09 |
1669088860 | Roxie Powell | Student in an Organized Health Care Education/Training Program | 1205 E Intl Airport Rd Ste 100, Anchorage, AK 99518-1409 | 2020-09-22 |
1457963308 | Brittany Shawn Carie | Student in an Organized Health Care Education/Training Program | 2524 S Paddock Dr, Wasilla, AK 99654-8451 | 2020-08-21 |
1093330052 | Kathleen Hagan | Student in an Organized Health Care Education/Training Program | 307 Cascade St, Sitka, AK 99835-7140 | 2020-06-15 |
1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
1649808221 | Morgan Taylor Noad | Student in an Organized Health Care Education/Training Program | 11311 Pyramid Dr Apt 9, Anchorage, AK 99516-1368 | 2020-03-30 |
1356999189 | Kara Lynn Boothby | Student in an Organized Health Care Education/Training Program | 1301 E Palmer Wasilla Hwy Ste 400, Wasilla, AK 99654-7257 | 2019-08-26 |
1750945317 | Rell D Sturdevant | Student in an Organized Health Care Education/Training Program | 11267 W Big Dipper Dr, Wasilla, AK 99623-4914 | 2019-04-29 |
1346722279 | Kimberly Shriner | Student in an Organized Health Care Education/Training Program | 1970 Hollowell Rd, North Pole, AK 99705 | 2018-09-06 |
1063945871 | Ryah Mckinley | Student in an Organized Health Care Education/Training Program | 1040 Gilmore St, Fairbanks, AK 99701-4117 | 2017-04-07 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.