Active NPI
Revive Chiropractic LLC
- Chiropractor
- Wasilla, AK
National Provider Identifier
1194658948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- REVIVE CHIROPRACTIC LLC
- Practice address
- 1175 N Leatherleaf Loop Ste F
Wasilla, AK 99654-6527 - Phone
- (907) 947-6319
- NPI assigned
- Jun 3, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Lloyd, DC
- Title
- Owner
- Phone
- (907) 947-6319
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
1175 N Leatherleaf Loop Ste F
Wasilla, AK 99654-6527
Mailing address
1175 N Leatherleaf Loop Ste F
Wasilla, AK 99654-6527
National Provider Directory
National Provider DirectoryLocations
1175 N Leatherleaf Loop
Ste F
Wasilla, AK 99654
Phone (907) 373-7546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780444800000",
"number": "1194658948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1175 N LEATHERLEAF LOOP STE F",
"city": "WASILLA",
"state": "AK",
"postal_code": "996546527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 N LEATHERLEAF LOOP STE F",
"city": "WASILLA",
"state": "AK",
"postal_code": "996546527",
"telephone_number": "907-947-6319"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REVIVE CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-03",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A",
"authorized_official_last_name": "LLOYD",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "907-947-6319",
"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 Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.