Individual provider Active NPI

Alana Amber Runnerstrum, D.C.

  • Chiropractor
  • Arroyo Grande, CA
National Provider Identifier
1104031491
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26076 Issued in CA
Practice address
104 Traffic Way
Suite B
Arroyo Grande, CA 93420-3333
Phone
(805) 481-9191
Fax
(805) 481-9192
NPI assigned
May 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC26076 CA Primary

Addresses

Primary practice location

104 Traffic Way
Suite B
Arroyo Grande, CA 93420-3333

Mailing address

104 Traffic Way
Suite B
Arroyo Grande, CA 93420-3333
Phone (805) 481-9191

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110805000757 CA Practitioner - Chiropractic 6406886779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

104 Traffic Way
Suite B
Arroyo Grande, CA 93420-3451
Phone (805) 481-9191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Chiropractic Center, P.C. PastSince Jan 29, 2018 Accepting new patients
Zionsville Holistic Chiropractic Chiropractor PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1104031491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 TRAFFIC WAY",
            "address_2": "SUITE B",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203333",
            "telephone_number": "805-481-9191",
            "fax_number": "805-481-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 TRAFFIC WAY",
            "address_2": "SUITE B",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203333",
            "telephone_number": "805-481-9191",
            "fax_number": "805-481-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNNERSTRUM",
        "first_name": "ALANA",
        "middle_name": "AMBER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arroyo Grande, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.