NPIMap

Organization Active NPI

Life Sprout Chiropractic LLC

  • Chiropractor
  • Fairbanks, AK
National Provider Identifier
1124469341
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
568 Issued in AK
Legal business name
LIFE SPROUT CHIROPRACTIC LLC
Practice address
912 Barnette St
Fairbanks, AK 99701-4510
Phone
(907) 451-7000
Fax
(907) 891-7297
NPI assigned
Jul 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Authorized official

Name
Dr. Alexandra F Swenson, DC
Title
Owner/Chiropractor
Phone
(907) 451-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 568 AK Primary

Addresses

Primary practice location

912 Barnette St
Fairbanks, AK 99701-4510

Mailing address

505 Illinois St Ste 4
Fairbanks, AK 99701-2946
Phone (907) 451-7000

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538611200000",
    "number": "1124469341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 ILLINOIS ST STE 4",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997012946",
            "telephone_number": "907-451-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 BARNETTE ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014510",
            "telephone_number": "907-451-7000",
            "fax_number": "907-891-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SPROUT CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2018-10-04",
        "status": "A",
        "authorized_official_last_name": "SWENSON",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "907-451-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.