DR. KENNETH M EBERLE (NPI# 1629319132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629319132 |
| Entity Type | Individual |
| Full Name | DR. KENNETH M EBERLE |
| Credential | DDS |
| Practice Address |
3909 Arctic Blvd Ste 202 Anchorage AK 99503-5769 |
| Practice Telephone | 9073448383 |
| Practice Fax Number | 9073448384 |
| Mailing Telephone | 9073448383 |
| Mailing Fax Number | 9073448384 |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2013-03-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
AAO554 | AK | Dental Providers |
| Street Address |
3909 ARCTIC BLVD STE 202 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99503-5769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174633325 | George B Massey Jr. | Dentist | 3909 Arctic Blvd Ste 202, Anchorage, AK 99503-5769 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020772 | Miladis Mcduffie | Massage Therapist | 1350 W. Northern Lights Blvd, Ste C, Anchorage, AK 99503 | 2020-10-15 |
| 1447804984 | Bethany Lynn Becker | Optometrist | 401 E. Northern Lights Blvd. Suite 102, Anchorage, AK 99503 | 2019-08-01 |
| 1265084933 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 2920 Seward Hwy, Anchorage, AK 99503 | 2019-07-12 |
| 1982268942 | Rukiyia Smith | Behavior Technician | 205 E Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-25 |
| 1245894310 | Mary Kathleen Tate | Specialist/Technologist | 205 E. Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-24 |
| 1194295766 | Kimberly Sue Trent | Registered Nurse | 670 W. Fireweed Lane Suite 160, Anchorage, AK 99503 | 2018-11-27 |
| 1659869089 | Alaska Spine & Pain Center, LLC | Chiropractor | 3901 Old Seward Hwy Ste 11, Anchorage, AK 99503 | 2018-05-01 |
| 1235643123 | Rosanne Louise Klouda | Massage Therapist | 213 Fireweed Ln, Anchorage, AK 99503 | 2017-11-30 |
| 1801309042 | Online Care Group Alaska | General Practice | 200 W. 34th Ave, Anchorage, AK 99503 | 2017-11-09 |
| 1548773849 | Leslie K Michalski | Massage Therapist | 510 W Tudor Rd Ste 9, Anchorage, AK 99503 | 2017-11-08 |
| Find all providers in zip 99503 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059438 | Shannon Candid Alaska, P.C. | Dentist | 721 Depot Dr, Anchorage, AK 99501-1615 | 2020-09-23 |
| 1518187210 | Jack B Duclos | Dentist | 1836 W Northern Lights Blvd, Anchorage, AK 99517-3342 | 2007-04-26 |
| 1679697924 | Ronald I Glaeser | Dentist | 3708 Rhone Cir, Anchorage, AK 99508-5051 | 2007-03-19 |
| 1194864025 | Richard L. Day | Dentist | 10998 O'malley Centre Dr., Suite A, Anchorage, AK 99515 | 2007-02-06 |
| 1548321995 | Jeffrey W Symonds | Dentist | 1000 Omalley Road, Suite 105, Anchorage, AK 99515 | 2006-12-12 |
| 1902815798 | Michael Leo Koropp | Dentist | 2700 W Dimond Blvd, Anchorage, AK 99502-1603 | 2006-08-08 |
| 1356609192 | John Joseph Murray Jr. | Dentist | 12350 Industry Way, Suite 205, Anchorage, AK 99515 | 2012-04-30 |
| 1023267796 | Keith C Coombs | Dentist | 3708 Rhone Cir, Anchorage, AK 99508-5051 | 2008-09-17 |
| 1598957052 | Rebecca V Neslund | Dentist | 4201 Tudor Centre Dr, Suite 320, Anchorage, AK 99508-5904 | 2007-08-17 |
| 1619096203 | Derek N Priebe | Dentist | 3401 Denali St, 203, Anchorage, AK 99503-4034 | 2007-03-28 |
| Find all providers in ANCHORAGE | ||||
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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.