NPIMap

Organization Active NPI

Mat-Su Chiropractic LLC

Doing business as Mat-Su Chiropractic

  • Chiropractor
  • Wasilla, AK
National Provider Identifier
1235910514
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MAT-SU CHIROPRACTIC LLC
Doing business as
Mat-Su Chiropractic
Practice address
10927 W Big Lake Rd
Wasilla, AK 99623-3300
Phone
(907) 203-6793
NPI assigned
Oct 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Authorized official

Name
Lauren Mikaylah Lueth, DCNPI 1417621731
Title
Owner, Chiropractor
Phone
(907) 232-4858

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

10927 W Big Lake Rd
Wasilla, AK 99623-3300

Mailing address

PO Box 870454
Wasilla, AK 99687-0454
Phone (907) 203-6793

Other names 2

  • Mat-Su Chiropractic Doing business as
  • Columbine Chiropractic Former legal business name

National Provider Directory

National Provider Directory

Locations

10927 W Big Lake Rd
Wasilla, AK 99623
Phone (907) 203-6793

10927 W Big Lake Rd
Ste C
Wasilla, AK 99623
Phone (907) 203-6793

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": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1235910514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870454",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996870454",
            "telephone_number": "907-203-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10927 W BIG LAKE RD",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996233300",
            "telephone_number": "907-203-6793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAT-SU CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "LUETH",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "MIKAYLAH",
        "authorized_official_title_or_position": "OWNER, CHIROPRACTOR",
        "authorized_official_telephone_number": "907-232-4858",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mat-Su Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Columbine Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Oct 11, 2023; 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.