Organization Active NPI

Discover Chiropractic Inc

  • Chiropractor
  • Fairbanks, AK
National Provider Identifier
1215145263
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DISCOVER CHIROPRACTIC INC
Practice address
1867 Airport Way
Suite 140C
Fairbanks, AK 99701-4055
Phone
(907) 455-7770
Fax
(907) 451-7770
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Authorized official

Name
Dr. Shawna Anne Victorino, DCNPI 1740476126
Title
Dr/Owner
Phone
(907) 455-7770

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 AK Primary

Addresses

Primary practice location

1867 Airport Way
Suite 140C
Fairbanks, AK 99701-4055

Mailing address

1867 Airport Way
Suite 140C
Fairbanks, AK 99701-4007
Phone (907) 455-7770

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080314000458 AK Part B Supplier - Clinic/Group Practice 1254416225 Receives reassigned benefits from 2 practitioners
Practice locations: Fairbanks, AK

National Provider Directory

National Provider Directory

Locations

1867 Airport Way
Ste 140C
Fairbanks, AK 99701
Phone (907) 455-7770

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": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1215145263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 AIRPORT WAY",
            "address_2": "SUITE 140C",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014007",
            "telephone_number": "907-455-7770",
            "fax_number": "907-451-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 AIRPORT WAY",
            "address_2": "SUITE 140C",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014055",
            "telephone_number": "907-455-7770",
            "fax_number": "907-451-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVER CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "VICTORINO",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "DR/OWNER",
        "authorized_official_telephone_number": "907-455-7770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AK",
            "license": null,
            "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 Jun 12, 2023; 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.