Chiro One Wellness Center of Anchorage South LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHIRO ONE WELLNESS CENTER OF ANCHORAGE SOUTH LLC

Practice address

4000 W Dimond Blvd Unit 4
Anchorage, AK 99502-1474

Phone

(907) 243-0660

NPI assigned

May 25, 2023

Last updated

Apr 30, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stuart Bernsen

Title

Ceo

Phone

(630) 229-4430

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Paul English, DC

  • Chiropractor
  • Hot Springs Village, AR
  • NPI 1992273908

  AK

  Medicare reassignment Care Compare group NPD
• Jordan Peter Oslan, D.C.

  • Chiropractor
  • Coral Springs, FL
  • NPI 1104367515

  AK

  Medicare reassignment Care Compare group NPD
• John C Lloyd, DC

  • Chiropractor
  • Anchorage, AK
  • NPI 1669437034
  Medicare reassignment NPD
• Blake Fenton, D.C.

  • Chiropractor
  • Washington Terrace, UT
  • NPI 1245417773

  AK

  Medicare reassignment NPD
• Sam Wang, DC

  • Chiropractor
  • Libertyville, IL
  • NPI 1073520136
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1003508169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 BUTTERFIELD RD STE 301N",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231266",
            "telephone_number": "630-468-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 W DIMOND BLVD UNIT 4",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995021474",
            "telephone_number": "907-243-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO ONE WELLNESS CENTER OF ANCHORAGE SOUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "BERNSEN",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-229-4430"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chinook Medical Supply
• Chinook Surgical Group (Alaska Bariatric Center)
• Cody Chipp, PH.D.
• Ellen H. Chirichella, MD
• Chiro One Wellness Center of Anchorage East LLC
• Chiro One Wellness Center of Dimond LLC
• Chiro One Wellness Center of Huffman LLC
• Betsy Chivers
• Sarah Rose Chivers, BA, CDC II
• Thomas Harry Chivers II, LMT

• Chiropractor in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Chiropractor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.