Organization Active NPI

Laurel Street Chiropractic & Spa, Joint Effort, L.L.C.

  • Rehabilitation Chiropractor
  • Anchorage, AK
National Provider Identifier
1184965576
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
552 Issued in AK
Legal business name
LAUREL STREET CHIROPRACTIC & SPA, JOINT EFFORT, L.L.C.
Practice address
4119 Laurel St
Anchorage, AK 99508-5334
Phone
(907) 248-2848
Fax
(907) 258-6610
NPI assigned
Mar 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
Dr. Robert J Van Zweeden, DC
Title
Owner
Phone
(907) 248-2848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 552 AK Primary

Addresses

Primary practice location

4119 Laurel St
Anchorage, AK 99508-5334

Mailing address

4119 Laurel St
Anchorage, AK 99508-5334
Phone (907) 248-2848

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1184965576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 LAUREL ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085334",
            "telephone_number": "907-248-2848",
            "fax_number": "907-258-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 LAUREL ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085334",
            "telephone_number": "907-248-2848",
            "fax_number": "907-258-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL STREET CHIROPRACTIC & SPA, JOINT EFFORT, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-08",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "VAN ZWEEDEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-248-2848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AK",
            "license": "552",
            "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 Jan 23, 2024; 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.