NPIMap

Organization Active NPI

Arctic Chiropractic South LLC

  • Chiropractor
  • Anchorage, AK
National Provider Identifier
1184964322
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ARCTIC CHIROPRACTIC SOUTH LLC
Practice address
4000 W Dimond Blvd
Ste #4
Anchorage, AK 99502-1401
Phone
(907) 243-0660
Fax
(907) 248-5481
NPI assigned
Feb 25, 2013
Last updated
Feb 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Authorized official

Name
Edward Foster, DCNPI 1790827806
Title
Member / Organizer
Phone
(907) 244-3268

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

4000 W Dimond Blvd
Ste #4
Anchorage, AK 99502-1401

Mailing address

4000 W Dimond Blvd
Ste #4
Anchorage, AK 99502-1401
Phone (907) 243-0660

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151007003096 AK Part B Supplier - Clinic/Group Practice 5496063653 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Anchorage, AK

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1184964322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 W DIMOND BLVD",
            "address_2": "STE #4",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995021401",
            "telephone_number": "907-243-0660",
            "fax_number": "907-248-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 W DIMOND BLVD",
            "address_2": "STE #4",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995021401",
            "telephone_number": "907-243-0660",
            "fax_number": "907-248-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCTIC CHIROPRACTIC SOUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "MEMBER / ORGANIZER",
        "authorized_official_telephone_number": "907-244-3268",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "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 Feb 25, 2013; 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.