Organization Active NPI

Advanced Chiropractic, LLC

  • Chiropractor
  • Fairbanks, AK
National Provider Identifier
1063900546
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
118490 Issued in AK
Legal business name
ADVANCED CHIROPRACTIC, LLC
Practice address
1901 Airport Way Ste 102
Fairbanks, AK 99701-4049
Phone
(907) 374-0718
Fax
(907) 374-0719
NPI assigned
Apr 30, 2018
Last updated
Apr 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Authorized official

Name
Dr. Aaron Shoemaker, DC
Title
Owner
Phone
(907) 374-0718

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 118490 AK Primary

Addresses

Primary practice location

1901 Airport Way Ste 102
Fairbanks, AK 99701-4049

Mailing address

1901 Airport Way Ste 102
Fairbanks, AK 99701-4049
Phone (907) 374-0718

National Provider Directory

National Provider Directory

Locations

1901 Airport Way
Ste 102
Fairbanks, AK 99701
Phone (907) 374-0718

NPI Registry JSON

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1063900546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 AIRPORT WAY STE 102",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014049",
            "telephone_number": "907-374-0718",
            "fax_number": "907-374-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 AIRPORT WAY STE 102",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014049",
            "telephone_number": "907-374-0718",
            "fax_number": "907-374-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "SHOEMAKER",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-374-0718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "118490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.