NPIMap

Organization Active NPI

Phormation Chiropractic

  • Chiropractor
  • Soldotna, AK
National Provider Identifier
1083048482
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
923462 Issued in AK
Legal business name
PHORMATION CHIROPRACTIC
Practice address
36304 Kenai Spur Hwy
Soldotna, AK 99669
Phone
(907) 262-9222
Fax
(907) 262-9212
NPI assigned
Aug 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

Authorized official

Name
Ms. Chera Lynn Heath
Title
Cinic Director / Owner
Phone
(907) 262-9222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 923462 AK Primary

Addresses

Primary practice location

36304 Kenai Spur Hwy
Soldotna, AK 99669

Mailing address

36304 Kenai Spur Hwy
Soldotna, AK 99669
Phone (907) 262-9222

Other names 1

  • Phormation Chiropractic & Day Spa Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Phormation Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1083048482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36304 KENAI SPUR HWY",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "99669",
            "telephone_number": "907-262-9222",
            "fax_number": "907-262-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36304 KENAI SPUR HWY",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "99669",
            "telephone_number": "907-262-9222",
            "fax_number": "907-262-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHORMATION CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-21",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "HEATH",
        "authorized_official_first_name": "CHERA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CINIC DIRECTOR / OWNER",
        "authorized_official_telephone_number": "907-262-9222",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "923462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phormation Chiropractic & Day Spa",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Soldotna, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.