Organization Active NPI

Nervana Health Solutions LLC

  • Interventional Pain Medicine Physician
  • Eagle River, AK
National Provider Identifier
1053762062
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
NERVANA HEALTH SOLUTIONS LLC
Practice address
10928 Eagle River Rd
# 104
Eagle River, AK 99577-8078
Phone
(907) 622-1300
NPI assigned
Jun 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Authorized official

Name
Adam Bellendier, DC
Title
Co-Owner
Phone
(907) 622-1300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

10928 Eagle River Rd
# 104
Eagle River, AK 99577-8078

Mailing address

10928 Eagle River Rd
# 104
Eagle River, AK 99577-8078
Phone (907) 622-1300

Other names 1

  • REGEN PAIN SOLUTIONS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1053762062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10928 EAGLE RIVER RD",
            "address_2": "# 104",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778078",
            "telephone_number": "907-622-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10928 EAGLE RIVER RD",
            "address_2": "# 104",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778078",
            "telephone_number": "907-622-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NERVANA HEALTH SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-30",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "BELLENDIER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "907-622-1300",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REGEN PAIN SOLUTIONS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eagle River, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.