Organization Active NPI

Bodymindsoul, Inc.

  • Chiropractor
  • Anchorage, AK
National Provider Identifier
1124343678
Registry record updated Mar 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
437243 Issued in AK
Legal business name
BODYMINDSOUL, INC.
Practice address
626 Cordova St
Suite 105
Anchorage, AK 99501-3715
Phone
(907) 375-0930
Fax
(907) 375-0960
NPI assigned
Mar 27, 2010
Last updated
Mar 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2010

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

Authorized official

Name
Mr. Nathan Alan Prince
Title
Owner
Phone
(907) 375-0930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 437243 AK Primary

Addresses

Primary practice location

626 Cordova St
Suite 105
Anchorage, AK 99501-3715

Mailing address

626 Cordova St
Suite 105
Anchorage, AK 99501-3715
Phone (907) 375-0930

National Provider Directory

National Provider Directory

Locations

626 Cordova St
Ste 105
Anchorage, AK 99501
Phone (907) 277-5525

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1269648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269648000000",
    "number": "1124343678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 CORDOVA ST",
            "address_2": "SUITE 105",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013715",
            "telephone_number": "907-375-0930",
            "fax_number": "907-375-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 CORDOVA ST",
            "address_2": "SUITE 105",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013715",
            "telephone_number": "907-375-0930",
            "fax_number": "907-375-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYMINDSOUL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-27",
        "last_updated": "2010-03-27",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-375-0930",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "437243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 27, 2010; 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.