Organization Active NPI

Golden Chiropractic Spa, LLC

  • Chiropractor
  • Anchorage, AK
National Provider Identifier
1265628069
Registry record updated Dec 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
905275 Issued in AK
Legal business name
GOLDEN CHIROPRACTIC SPA, LLC
Practice address
4119 Laurel St
Anchorage, AK 99508-5334
Phone
(303) 748-3833
NPI assigned
Sep 14, 2007
Last updated
Dec 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2008

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

Authorized official

Name
Dr. Andrea Diane Gallagher, D.C.
Title
Managing Owner
Phone
(303) 748-3833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 905275 AK Primary

Addresses

Primary practice location

4119 Laurel St
Anchorage, AK 99508-5334

Mailing address

1995 E Coalton Rd
#65-101
Superior, CO 80027-4419
Phone (303) 748-3833

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229731200000",
    "number": "1265628069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 E COALTON RD",
            "address_2": "#65-101",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800274419",
            "telephone_number": "303-748-3833"
        },
        {
            "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": "303-748-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN CHIROPRACTIC SPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2008-12-20",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "303-748-3833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "905275",
            "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 Dec 20, 2008; 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.