ANGELICA AFCAN (NPI# 1134512676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134512676 |
Entity Type | Individual |
Full Name | ANGELICA AFCAN |
Credential | DHAT |
Practice Address |
829 Chief Eddie Hoffman Highway Bethel AK 99559 |
Mailing Address |
Po Box 528 Bethel AK 99559-0528 |
Practice Telephone | 9075436200 |
Practice Fax Number | 9075436393 |
Enumeration Date | 2015-03-09 |
Last Update Date | 2015-03-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 125J00000X | Dental Therapist | 15-122-DHAT | 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 |
1417409210 | Colby Haines | Dentist | 829 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2016-10-27 |
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 |
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 | 125J00000X |
Grouping | Dental Providers |
Classification | Dental Therapist |
A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations. |
Notes: Source: Summarized from Minnesota Statute 150A.105. [7/1/2012: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326654245 | Kathrine G.d.a Levi | Dental Therapist | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2020-09-16 |
1790320513 | Ruby Okitkun | Dental Therapist | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2019-11-15 |
1831646447 | Sadie M Green | Dental Therapist | 528 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0304 | 2016-09-01 |
1629455183 | Renee Mae Rose Cheemuk | Dental Therapist | 900 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0528 | 2015-05-04 |
1740674472 | Shawn Martin | Dental Therapist | 829 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2015-03-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083251607 | Tamija Katrice Woods | Dental Therapist | 4519 E 4th Ave, Anchorage, AK 99508-2216 | 2019-12-02 |
1538541693 | Amanda Miles | Dental Therapist | 3449 E. Rezanof Drive, Dental Department, Kodiak, AK 99615-3449 | 2015-06-25 |
1205236692 | Kimberly Baldwin | Dental Therapist | 436 5th Ave Ted Stevens Way, Kotzebue, AK 99752 | 2014-09-04 |
1205265345 | Cora Roberts | Dental Therapist | 201 3rd Avenue, Suite 115, Seward, AK 99664 | 2013-11-08 |
1336783075 | Allison Kristi Wasuli | Dental Therapist | 733 2nd Avenue, Kotzebue, AK 99752 | 2019-11-06 |
1922579143 | Janette Carmen Ulak | Dental Therapist | 49 Airport Rd, Hooper Bay Clinic, Hooper Bay, AK 99604 | 2018-12-16 |
1609345677 | Samantha Sparks | Dental Therapist | 222 Tongass Dr, Sitka, AK 99835-9416 | 2018-11-19 |
1134696156 | Shonna Wheeler | Dental Therapist | 100 Slocum Drive, King Cove, AK 99612 | 2018-10-29 |
1881160570 | Leandra Beech | Dental Therapist | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2018-10-19 |
1275075244 | Summer Michele Lynch | Dental Therapist | 216 Dalton Street, Suite 102, Haines, AK 99827 | 2016-11-08 |
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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.