Organization Active NPI

Soldotna Chiropractic & Upper Cervical LLC

  • Chiropractor
  • Soldotna, AK
National Provider Identifier
1144945742
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SOLDOTNA CHIROPRACTIC & UPPER CERVICAL LLC
Practice address
102 E Redoubt Ave
Soldotna, AK 99669-8012
Phone
(907) 262-9117
NPI assigned
Oct 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Dr. Chris Cedars, DCNPI 1144774837
Title
Chiropractor
Phone
(530) 210-1258

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

102 E Redoubt Ave
Soldotna, AK 99669-8012

Mailing address

102 E Redoubt Ave
Soldotna, AK 99669-8012
Phone (907) 262-9117

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221104001061 AK Part B Supplier - Clinic/Group Practice 0143697185 Receives reassigned benefits from 1 practitioner
Practice locations: Soldotna, AK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1144945742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E REDOUBT AVE",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996698012",
            "telephone_number": "907-262-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E REDOUBT AVE",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996698012",
            "telephone_number": "907-262-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLDOTNA CHIROPRACTIC & UPPER CERVICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "CEDARS",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "530-210-1258",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.