RUBY OKITKUN


Address: 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559
Phone: 9075436229

RUBY OKITKUN (NPI# 1790320513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790320513
Entity Type Individual
Full Name RUBY OKITKUN
Practice Address 700 Chief Eddie Hoffman Hwy
Bethel
AK 99559
Mailing Address Po Box 246
Emmonak
AK 99581-0246
Practice Telephone 9075436229
Mailing Telephone 9079493500
Enumeration Date 2019-11-15
Last Update Date 2019-12-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 125J00000X Dental Therapist 13-116-DHAT AK Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
246 Kwiguk St, Emmonak, AK 99581 9079493500

Office Location

Street Address 700 CHIEF EDDIE HOFFMAN HWY
City BETHEL
State AK
Zip Code 99559

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144241472 Gregory C Sy Physician Assistant 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 2006-07-21
1326654245 Kathrine G.d.a Levi Dental Therapist 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 2020-09-16
1770134470 Kaylene Diane Woods Pharmacist 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0287 2019-09-24
1891261996 Rayshal Lee Spalding Dietitian, Registered 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 2018-10-17
1073093860 Charlotte Gruber Social Worker 700 Chief Eddie Hoffman Hwy, Suite A600, Bethel, AK 99559 2018-08-21
1437643350 Erin Mckee Knowles Physical Therapist 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 2018-06-15
1487106100 Emmanuel Kouao Koffi Pharmacist 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 2016-10-28
1306299714 Yukon-kuskokwim Health Corporation Transportation Broker 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 2016-07-20
1700239274 Bowen Liu Pharmacist 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 2016-07-19
1720464183 Mary Guy Technician, Other 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0700 2015-08-07
Find all providers in the same location

Providers in the same zip code

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
Find all providers in zip 99559

Taxonomy Information

Taxonomy Code 125J00000X
Grouping Dental Providers
Classification Dental Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326654245 Kathrine G.d.a Levi Dental Therapist 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 2020-09-16
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
1134512676 Angelica Afcan Dental Therapist 829 Chief Eddie Hoffman Highway, Bethel, AK 99559 2015-03-09

Providers in the same taxonomy and state

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
Find all providers with the same taxonomy

Competitor

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City BETHEL
Zip Code 99559

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Dataset Information

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.

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