NPIMap

Organization Active NPI

Arctic Chiropractic Wrangell, LLC

  • Chiropractor
  • Wrangell, AK
National Provider Identifier
1265905475
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ARCTIC CHIROPRACTIC WRANGELL, LLC
Practice address
109 Lynch St
Suite B
Wrangell, AK 99929
Phone
(907) 250-7246
NPI assigned
Jan 10, 2019
Last updated
Feb 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Authorized official

Name
Kera Tuttle
Title
Credentialing Manager
Phone
(907) 727-1901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

109 Lynch St
Suite B
Wrangell, AK 99929

Mailing address

1150 S Colony Way Ste 3
Palmer, AK 99645-6972

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190225002882 AK Part B Supplier - Clinic/Group Practice 2567701220 Receives reassigned benefits from 3 practitioners
Practice locations: Wrangell, AK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1265905475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S COLONY WAY STE 3",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 LYNCH ST",
            "address_2": "SUITE B",
            "city": "WRANGELL",
            "state": "AK",
            "postal_code": "99929",
            "telephone_number": "907-250-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCTIC CHIROPRACTIC WRANGELL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "TUTTLE",
        "authorized_official_first_name": "KERA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "907-727-1901"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wrangell, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.