Active NPI
Valley Chiropractic Clinic, Inc
- Chiropractor
- Wasilla, AK
National Provider Identifier
1104913359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- AA187
- Legal business name
- VALLEY CHIROPRACTIC CLINIC, INC
- Practice address
- 400 N Main St
Wasilla, AK 99654-7018 - Phone
- (907) 373-2022
- Fax
- (907) 373-2029
- NPI assigned
- Oct 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Martin, D.C., C.C.S.P.
- Title
- President
- Phone
- (907) 373-2022
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | AA187 | AK | Primary |
Addresses
Primary practice location
400 N Main St
Wasilla, AK 99654-7018
Mailing address
400 N Main St
Wasilla, AK 99654-7018
Phone (907) 373-2022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH0065 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
400 N Main St
Wasilla, AK 99654
Phone (907) 373-2022
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Physician Chiropractor
- Wasilla, AK
- NPI 1396724951
-
- Chiropractor
- Wasilla, AK
- NPI 1487924684
-
- Massage Therapist
- Wasilla, AK
- NPI 1851035273
-
- Massage Therapist
- Wasilla, AK
- NPI 1265377840
-
- Massage Therapist
- Wasilla, AK
- NPI 1053821017
-
- Massage Therapist
- Wasilla, AK
- NPI 1285157446
-
- Massage Therapist
- Wasilla, AK
- NPI 1033640875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287705600000",
"number": "1104913359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N MAIN ST",
"city": "WASILLA",
"state": "AK",
"postal_code": "996547018",
"telephone_number": "907-373-2022",
"fax_number": "907-373-2029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N MAIN ST",
"city": "WASILLA",
"state": "AK",
"postal_code": "996547018",
"telephone_number": "907-373-2022",
"fax_number": "907-373-2029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY CHIROPRACTIC CLINIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-09",
"last_updated": "2010-10-22",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "907-373-2022",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C., C.C.S.P."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "AK",
"license": "AA187",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CH0065",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.