KIMBERLY R SELF D.D.S. NPI 1073841797

Dentist in Barrow, AK

NPI 1073841797 Individual Female Dentist PECOS Enrolled

About KIMBERLY SELF

Kimberly Self is a provider established in Barrow, Alaska and her medical specialization is dentist. The NPI number of Kimberly Self is 1073841797 and was assigned on November 2009. The practitioner's primary taxonomy code is 122300000X with license number 1395 (AK). The provider is registered as an individual and her NPI record was last updated 10 years ago.

A dentist like Kimberly R Self D.d.s. is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Kimberly Self is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

Kimberly Self is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1073841797

Provider Name KIMBERLY R SELF D.D.S.
Provider Location Address1296 AGVIK STREET BARROW, AK 99723
Provider Mailing Address1296 AGVIK STREET PO BOX 29 BARROW, AK 99723
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date11-19-2009
Last Update Date07-18-2012


Primary Taxonomy

Taxonomy Code122300000X
ClassificationDentist
TypeDental Providers
License No.1395
License StateAK
Taxonomy DescriptionA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Business Address

KIMBERLY R SELF D.D.S.
1296 AGVIK STREET
BARROW, AK
ZIP 99723
Phone: (907) 852-9221
Fax: (907) 852-9297

Get Directions


Mailing Address

KIMBERLY R SELF D.D.S.
1296 AGVIK STREET
PO BOX 29
BARROW, AK
ZIP 99723
Phone: (907) 852-9221
Fax: (907) 852-9297



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesNo

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1122300000XDental ProvidersDentist24630TXNo

Taxonomy Description: a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Other Providers at the same location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962626267MR. DAVID VENSKO
Individual
Registered Nurse1296 AGVIK STREET
BARROW, AK 99723
(907) 852-9257
1619198645 ROBIN SHEMANSKI RN
Individual
Registered Nurse1296 AGVIK STREET
BARROW, AK 99723
(907) 852-9303
1588877401 GANDY GUINEVERE BECKER
Individual
Registered Nurse1296 AGVIK STREET
BARROW, AK 99723
(907) 852-4611
1730397159MS. REBECCA ANDREW PA-C
Individual
Physician Assistant1296 AGVIK STREET
BARROW, AK 99723
(907) 852-5886
1538365291MRS. MELISSA BARR PA-C
Individual
Physician Assistant1296 AGVIK STREET
BARROW, AK 99723
(907) 852-9211
1326230756ASNA-SAMUEL SIMMONDS MEMORIAL HOSPITAL
Organization
General Acute Care Hospital (Critical Access)1296 AGVIK STREET
BARROW, AK 99723
(907) 852-9203
1578758744SAMUEL SIMMONDS MEMORIAL HOSPITAL
Organization
General Acute Care Hospital (Critical Access)1296 AGVIK STREET
BARROW, AK 99723
(907) 852-4611
1881859577SAMUEL SIMMONDS MEMORIAL HOSPITAL
Organization
General Acute Care Hospital (Rural)1296 AGVIK STREET
BARROW, AK 99723
(907) 852-4611
1003179177ARCTIC SLOPE NATIVE ASSOCIATION
Organization
Clinic/Center (Critical Access Hospital)1296 AGVIK STREET
BARROW, AK 99723
(907) 852-4611
1902147952DR. PALMER TOBIAS WETZEL III PHARMD
Individual
Pharmacist1296 AGVIK STREET
BARROW, AK 99723
(907) 852-9277
1770824716DR. TOLULOPE BALOGUN PHARM.D
Individual
Pharmacist1296 AGVIK STREET
BARROW, AK 99723
(907) 852-9267
1669714119DR. JOSEPH MICHAEL RODRIGUEZ PHARMD
Individual
Pharmacist1296 AGVIK STREET
BARROW, AK 99723
(907) 852-9277
1366888539 KAMA JOY BLASING RDH
Individual
Dental Hygienist1296 AGVIK STREET
BARROW, AK 99723
(907) 852-9221
1609298421 MICHAEL SMALLEY LPN
Individual
Licensed Practical Nurse1296 AGVIK STREET
BARROW, AK 99723
(907) 852-9203
1801899257ARCTIC SLOPE NATIVE ASSOCIATION
Organization
Pharmacy1296 AGVIK STREET
BARROW, AK 99723
(907) 852-9277
1225240310SAMUEL SIMMONDS MEMORIAL HOSPITAL
Organization
General Acute Care Hospital (Rural)1296 AGVIK STREET
BARROW, AK 99723
(907) 852-4611

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.