Active NPI
Mary Lorene Pfeifer, D.C.
- Rehabilitation Chiropractor
- Ketchikan, AK
National Provider Identifier
1073658837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 737
- Practice address
- 2901 Baranof Ave
Ketchikan, AK 99901-5765 - Phone
- (907) 225-9090
- Fax
- (907) 225-9001
- NPI assigned
- Feb 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 157 | AK | |
| Rehabilitation Chiropractor | 111NR0400X | 737 | AK | Primary |
Addresses
Primary practice location
2901 Baranof Ave
Ketchikan, AK 99901-5765
Mailing address
2901 Baranof Ave
Ketchikan, AK 99901-5765
Phone (907) 225-9090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH0157 | Medicaid | AK |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 157 | AK | MD | Registered Dietitian |
| 737 | AK | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1073658837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 BARANOF AVE",
"city": "KETCHIKAN",
"state": "AK",
"postal_code": "999015765",
"telephone_number": "907-225-9090",
"fax_number": "907-225-9001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 BARANOF AVE",
"city": "KETCHIKAN",
"state": "AK",
"postal_code": "999015765",
"telephone_number": "907-225-9090",
"fax_number": "907-225-9001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFEIFER",
"first_name": "MARY",
"middle_name": "LORENE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AK",
"license": "157",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "AK",
"license": "737",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CH0157",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ketchikan, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.