DR. KEVIN DUANE RASMUSSEN (NPI# 1861719254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861719254 |
Entity Type | Individual |
Full Name | DR. KEVIN DUANE RASMUSSEN |
Credential | DDS |
Practice Address |
51st Dental Squadron Unit 2060 Apo AP 96278-2060 |
Mailing Address |
51st Dental Squadron Unti 2060 Apo AP 96278 |
Practice Telephone | 3157846705 |
Enumeration Date | 2010-04-26 |
Last Update Date | 2018-05-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 122300000X | Dentist | DD3621 | NM | Dental Providers |
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DD3621 | NM | Dental Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
51ST DENTAL SQUADRON UNIT 2060 |
City | APO |
State | AP |
Zip Code | 96278-2060 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316310832 | Elissa Nicole Beebe | Physician Assistant | Paf 51 Medical Operations Sq Ffm 130, Osan Ab, KOREA 96278 | 2015-11-05 |
1902287972 | Anna Schaar Friend | Family Medicine | 777 Songtan Boulevard, Unit 2060, Apo, AP 96278 | 2015-06-15 |
1497012488 | Kevin M Phelan | Surgery | 51 Mdg, Unit 2060, Apo, AP 96278 | 2012-04-16 |
1922214782 | 121st Csh/baach | Clinic/Center | Unit 15494, Apo, AP 96278 | 2007-05-15 |
1548475619 | 121st Csh/baach | Clinic/Center | Unit 2097, Camp Walker, Apo, AP 96278 | 2007-05-11 |
1912028424 | Danny Eric Ervin | Social Worker | 51 Mdg Mdos, Unit 2060, Apo, AP 96278 | 2007-04-02 |
1477608321 | Carl Neighbors | Counselor | 51 Mdg Sgohf, Unit 2060, Apo, AP 96278 | 2007-01-23 |
1619043775 | Wonil William Chong | Dentist | 51st Medical Group/sghq, Unit 2060, Apo, AP 96278 | 2006-11-28 |
1134180185 | 51 Medical Group | Military Hospital | Resource Managment, Unit 2060, Apo, AP 96278 | 2006-03-29 |
1053390187 | Robert Lee Chaplin Jr. | Nurse Anesthetist, Certified Registered | 51 Mdos/sgosa, Bldg 777 Unit #2060, Apo, AP 96278 | 2006-01-17 |
Find all providers in zip 96278 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033255906 | Todd Edward Sumner | Dentist | 1591 Griffin St, Marine Corps Base, 29 Palms, Ca, Apo, AA 92778 | 2007-01-29 |
1548222730 | Ronald Edward Prenzel | Dentist | B Co, 121 Csh, Unit 15244, Box 947, Apo, AP 96205 | 2006-04-04 |
1750366738 | Jose Miguel Santiago-cummings | Dentist | 618th Dental Company (as), Unit #15652, Apo, AP 96205-5652 | 2005-12-13 |
1770808875 | Christopher John Fries | Dentist | 18th Medical Group, Unit 5142, Apo, AP 96368 | 2010-03-31 |
1801025770 | Benjamin Andy Shirley | Dentist | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461-5115 | 2009-07-13 |
1366521312 | Robert I. Delo | Dentist | Unit 6180 Box 245, Apo, AE 09604-0245 | 2006-11-02 |
1629054473 | James Eli Vangilder Iv | Dentist | 18th Dental Squadron, Unit 5270, Apo, AP 96368-5270 | 2005-12-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114229317 | Brian David Evans | Dentist | Uss Carl Vinson Cvn70, Unit 1000111 Box 1770, Fpo, AP 96629 | 2010-11-22 |
1447486170 | Christopher Eric Crecelius | Dentist | Uss Abraham Lincoln, (cvn72) Dental Division, Fpo, AP 96612-2872 | 2009-06-09 |
1801859905 | Darius A Richardson | Dentist | Box 9095, Fpo, AP 96538 | 2006-04-10 |
1144209412 | Daniel P. Clifford | Dentist | Naval Hospital Okinawa, Psc 482 Box 1600, Fpo, AP 96362 | 2006-01-13 |
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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.