DR. COLBY HAINES (NPI# 1417409210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417409210 |
| Entity Type | Individual |
| Full Name | DR. COLBY HAINES |
| Credential | D.D.S. |
| Practice Address |
829 Chief Eddie Hoffman Highway Bethel AK 99559 |
| Mailing Address |
Po Box 1524 Bethel AK 99559-1524 |
| Practice Telephone | 9072297062 |
| Mailing Telephone | 9072297062 |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 114079 | AK | Dental Providers |
| Street Address |
829 CHIEF EDDIE HOFFMAN HIGHWAY |
| City | BETHEL |
| State | AK |
| Zip Code | 99559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609879998 | Deirdre M Piotrowski | Social Worker | 829 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2005-05-31 |
| 1093200289 | Deborah A Michael | Case Manager/Care Coordinator | 829 Chief Eddie Hoffman Highway, Bethel, AK 99559-0528 | 2018-06-29 |
| 1437521713 | Anne Marie Harper | Dietitian, Registered | 829 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2015-10-26 |
| 1013391382 | Pamela Chaliak | Case Manager/Care Coordinator | 829 Chief Eddie Hoffman Highway, Bethel, AK 99559-0528 | 2015-07-16 |
| 1720462146 | Sarah Jasper | Case Manager/Care Coordinator | 829 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2015-07-15 |
| 1356734511 | Jennifer Bierley | Case Manager/Care Coordinator | 829 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2015-03-12 |
| 1134512676 | Angelica Afcan | Dental Therapist | 829 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2015-03-09 |
| 1245621192 | Berntina Sankwich | Counselor | 829 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2015-02-13 |
| 1235535816 | Brittany Demientieff | Case Manager/Care Coordinator | 829 Chief Eddie Hoffman Highway, Suite 150, Bethel, AK 99559 | 2014-11-10 |
| 1013327683 | Stella Hensley | Case Manager/Care Coordinator | 829 Chief Eddie Hoffman Highway, Bethel, AK 99559-0528 | 2014-05-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194337519 | Michael P Nicolai | Case Manager/Care Coordinator | 829 Chief Eddie Hoffman Hey, Bethel, AK 99559 | 2020-08-18 |
| 1003438508 | Enc Physical Therapy LLC | Physical Therapist | 223 Blackberry Street, Unit A, Bethel, AK 99559 | 2020-05-07 |
| 1780229609 | Laline Knox | Massage Therapist | 107 Alex Hatley Ste 1, Bethel, AK 99559 | 2019-11-14 |
| 1659920502 | Ana Celina Sebastian | Counselor | 1380 Calista Dr, Bethel, AK 99559 | 2019-09-04 |
| 1639730484 | Jerri Linda Moran-gentle | Massage Therapist | 430 A 7th Ave, Bethel, AK 99559 | 2019-06-24 |
| 1528625381 | Jennifer Peeks | Social Worker | 631 4th Ave. & Main St., Bethel, AK 99559 | 2019-05-28 |
| 1710451190 | Mary Theresa Thibeault | Registered Nurse | Bethel Public Health Center, 1490 Eddie Hoffman Highway, Bethel, AK 99559 | 2019-01-18 |
| 1659846210 | Freda Lizann Jimmie | Counselor | 829 Eddie Hoffman Highway, Bethel, AK 99559 | 2018-10-10 |
| 1073093977 | Romeo Mullai | Counselor | 1630 Calista Drive, Bethel, AK 99559 | 2018-08-20 |
| 1235623794 | Brian Justin Moses | Day Training/Habilitation Specialist | 841 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2018-06-19 |
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| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962746750 | Caleb William Stuebing | Dentist | 700 Chief Eddie Hoffman Highway., Bethel, AK 99559 | 2012-11-16 |
| 1235422015 | Suzanne Eberling | Dentist | 610 Akiachak Drive, Bethel, AK 99559 | 2011-05-26 |
| 1952620288 | Ryan David Budde | Dentist | 185 Hoffman Rd, Bethel, AK 99559 | 2010-05-26 |
| 1255538112 | Jonathan B Knapp | Dentist | 1 Diamond Ave, Bethel, CT 06801-1801 | 2007-07-02 |
| 1104948884 | Edwin Henry Allgair Jr. | Dentist | 660 Third Ave Ste C, Bethel, AK 99559-0169 | 2007-04-04 |
| 1104945443 | Matthew J West | Dentist | 829 Cheif Eddie Hoffman Hwy, Bethel, AK 99559-0528 | 2007-03-28 |
| 1528020567 | Michael J Minarchek | Dentist | 420 West Plane St, Bethel, OH 45106 | 2006-04-05 |
| 1851853618 | Stony Hill Dental Care Pllc | Dentist | 76 Stony Hill Rd, Bethel, CT 06801-3055 | 2019-04-02 |
| 1538658398 | Kameron Shea Zimin | Dentist | 528 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2018-05-08 |
| 1386169464 | David Humphrey | Dentist | 700 Chief Eddie Hoffman, Bethel, AK 99559 | 2017-08-09 |
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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.