Active NPI
Eli Kreuzenstein
- Massage Therapist
- Anchorage, AK
National Provider Identifier
1003484569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7556535
- Practice address
- 1000 E Dimond Blvd Ste 202
Anchorage, AK 99515-2029 - Phone
- (907) 349-4212
- Fax
- (907) 344-3381
- NPI assigned
- Jun 11, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 7556535 | AK | Primary |
Addresses
Primary practice location
1000 E Dimond Blvd Ste 202
Anchorage, AK 99515-2029
Mailing address
17823 Meadow Creek Dr
Eagle River, AK 99577-8250
Phone (907) 862-4853
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7556535 | AK | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corporate Chiropractic, Inc. | Current | Accepting new patients | |
| Motion Imaging | Current | Accepting new patients |
Locations
1000 E Dimond Blvd
Ste 202
Anchorage, AK 99515
Phone (907) 349-4212
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Anchorage, AK
- NPI 1740525849
-
- Radiology Clinic/Center
- Anchorage, AK
- NPI 1275304933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623369600000",
"number": "1003484569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17823 MEADOW CREEK DR",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995778250",
"telephone_number": "907-862-4853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E DIMOND BLVD STE 202",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995152029",
"telephone_number": "907-349-4212",
"fax_number": "907-344-3381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREUZENSTEIN",
"first_name": "ELI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-11",
"last_updated": "2021-06-11",
"certification_date": "2021-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AK",
"license": "7556535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.