NPIMap

Organization Active NPI

Mulholland Chiropractic Center, LLC

  • Internist Chiropractor
  • Anchorage, AK
National Provider Identifier
1093995441
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
154 Issued in AK
Legal business name
MULHOLLAND CHIROPRACTIC CENTER, LLC
Practice address
2020 Abbott Rd
Suite 2
Anchorage, AK 99507-4624
Phone
(907) 770-5700
Fax
(907) 770-5701
NPI assigned
Nov 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
David Mulholland, D.C., LLC
Title
Owner
Phone
(907) 770-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internist ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NI0900X 154 AK Primary

Addresses

Primary practice location

2020 Abbott Rd
Suite 2
Anchorage, AK 99507-4624

Mailing address

2020 Abbott Rd
Suite 2
Anchorage, AK 99507-4624
Phone (907) 770-5700

Other names 1

  • David J. Mulholland, DC, LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080925000077 AK Part B Supplier - Clinic/Group Practice 3173699352 Receives reassigned benefits from 2 practitioners
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory

Locations

2020 Abbott Rd
Ste 2
Anchorage, AK 99507
Phone (907) 770-5700

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1093995441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 ABBOTT RD",
            "address_2": "SUITE 2",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995074624",
            "telephone_number": "907-770-5700",
            "fax_number": "907-770-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 ABBOTT RD",
            "address_2": "SUITE 2",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995074624",
            "telephone_number": "907-770-5700",
            "fax_number": "907-770-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULHOLLAND CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "MULHOLLAND",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-770-5700",
        "authorized_official_credential": "D.C., LLC"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Internist",
            "state": "AK",
            "license": "154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David J. Mulholland, DC, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.