Individual provider Active NPI

Elliott Shawn Woodmansee, DC

  • Chiropractor
  • Anchorage, AK
National Provider Identifier
1023319779
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
522 Issued in AK
Practice address
750 W Dimond Blvd
Suite 121
Anchorage, AK 99515-1501
Phone
(907) 344-0033
Fax
(907) 344-6332
NPI assigned
Nov 11, 2010
Last updated
Nov 11, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 522 AK Primary

Addresses

Primary practice location

750 W Dimond Blvd
Suite 121
Anchorage, AK 99515-1501

Mailing address

750 W Dimond Blvd
Suite 121
Anchorage, AK 99515-1501
Phone (907) 344-0033

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
522AKMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289433600000",
    "number": "1023319779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 W DIMOND BLVD",
            "address_2": "SUITE 121",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995151501",
            "telephone_number": "907-344-0033",
            "fax_number": "907-344-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W DIMOND BLVD",
            "address_2": "SUITE 121",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995151501",
            "telephone_number": "907-344-0033",
            "fax_number": "907-344-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODMANSEE",
        "first_name": "ELLIOTT",
        "middle_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-11",
        "last_updated": "2010-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "522",
            "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 Nov 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.