NPIMap

Organization Active NPI

White Spruce Medical Inc

  • Naturopath
  • Fairbanks, AK
National Provider Identifier
1215983259
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
WHITE SPRUCE MEDICAL INC
Practice address
1275 Sadler Way Ste 104
Fairbanks, AK 99701-3175
Phone
(907) 452-3600
Fax
(907) 452-3695
NPI assigned
May 25, 2006
Last updated
Sep 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Authorized official

Name
Dr. Scott D Luper, NDNPI 1104872183
Title
VP
Phone
(907) 452-3600

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X
Acupuncturist 171100000X
Naturopath 175F00000X Primary

Addresses

Primary practice location

1275 Sadler Way Ste 104
Fairbanks, AK 99701-3175

Mailing address

104 Kutter Rd
Fairbanks, AK 99701-3169
Phone (907) 452-3600

Other names 1

  • Alaska Center for Natural Medicine INC Former legal business name

National Provider Directory

National Provider Directory

Locations

3039 Davis Rd
Fairbanks, AK 99709
Phone (907) 276-2803

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1215983259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 KUTTER RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013169",
            "telephone_number": "907-452-3600",
            "fax_number": "907-452-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 SADLER WAY STE 104",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013175",
            "telephone_number": "907-452-3600",
            "fax_number": "907-452-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE SPRUCE MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "LUPER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "907-452-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alaska Center for Natural Medicine INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 27, 2021; 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.