Organization Active NPI

City Center Chiropractic

  • Chiropractor
  • Juneau, AK
National Provider Identifier
1053507137
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
AA185 Issued in AK
Legal business name
CITY CENTER CHIROPRACTIC
Practice address
800 Glacier Ave
Juneau, AK 99801-1845
Phone
(907) 463-5255
Fax
(907) 463-5090
NPI assigned
Sep 21, 2007
Last updated
Sep 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Authorized official

Name
Dr. Birger I. Baastrup, D.C.NPI 1326114984
Title
Clinic Director
Phone
(907) 463-5255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X AA185 AK Primary

Addresses

Primary practice location

800 Glacier Ave
Juneau, AK 99801-1845

Mailing address

800 Glacier Ave
Juneau, AK 99801-1845
Phone (907) 463-5255

National Provider Directory

National Provider Directory

Locations

800 Glacier Ave
Juneau, AK 99801
Phone (907) 463-5255

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1053507137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 GLACIER AVE",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998011845",
            "telephone_number": "907-463-5255",
            "fax_number": "907-463-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GLACIER AVE",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998011845",
            "telephone_number": "907-463-5255",
            "fax_number": "907-463-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY CENTER CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "BAASTRUP",
        "authorized_official_first_name": "BIRGER",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "907-463-5255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "AA185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juneau, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.