Arctic Pain Management Inc

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NURU1305 Issued in AK

Legal business name

ARCTIC PAIN MANAGEMENT INC

Practice address

330 Old Steese Hwy
Fairbanks, AK 99701-3126

Phone

(206) 459-4108

NPI assigned

Aug 14, 2014

Last updated

Aug 14, 2014By 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

Robert Lewis, DC

Title

Owner

Phone

(206) 459-4108

Specialties & licenses 1

Addresses

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.

• Rob Lewis, D.C.

  • Chiropractor
  • Fairbanks, AK
  • NPI 1194856344
  NPD (past)

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1063811255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 OLD STEESE HWY",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 OLD STEESE HWY",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013126",
            "telephone_number": "206-459-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCTIC PAIN MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-459-4108",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "AK",
            "license": "NURU1305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Letha C Archer, M.D
• Arctic Chiropractic Fairbanks, LLC
• Arctic Internal Medicine, PB
• Arctic Medical Transport LLC
• Arctic Midwives, LLC
• Arctic Pain Relief Center, LLC
• Arctic Pathways, LLC
• Arctic Physical Therapy & Rehabilitation Fairbanks, LLC
• Arctic Physical Therapy and Rehabilitation Fairbanks LLC
• Brandy Rene Arellano

• Nurse Practitioner in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.