RUBY OKITKUN (NPI# 1790320513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 125J00000X | Dental Therapist | 13-116-DHAT | AK | Dental Providers |
Address | Telephone Number | Fax Number |
---|---|---|
246 Kwiguk St, Emmonak, AK 99581 | 9079493500 |
Street Address |
700 CHIEF EDDIE HOFFMAN HWY |
City | BETHEL |
State | AK |
Zip Code | 99559 |
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 |
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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 |
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 |
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.