Individual provider Active NPI

Jennifer R Lovdahl, D.C.

  • Chiropractor
  • Anchorage, AK
National Provider Identifier
1275766206
Registry record updated Dec 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
476 Issued in AK
Practice address
6831 Jewel Lake Rd
Anchorage, AK 99502-2823
Phone
(907) 245-0807
Fax
(907) 245-0809
NPI assigned
Aug 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 476 AK Primary

Addresses

Primary practice location

6831 Jewel Lake Rd
Anchorage, AK 99502-2823

Mailing address

6831 Jewel Lake Rd
Anchorage, AK 99502-2823
Phone (907) 245-0807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100505000324 AK Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 4789712332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Palmer College Chiropractic - Davenport, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6831 Jewel Lake Rd
Anchorage, AK 99502-2823
Phone (907) 245-0807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
476AKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Health Chiropractic LLC Chiropractor CurrentSince Feb 22, 2010 Accepting new patients

Locations

6831 Jewel Lake Rd
Anchorage, AK 99502
Phone (907) 223-6390

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261526400000",
    "number": "1275766206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6831 JEWEL LAKE RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995022823",
            "telephone_number": "907-245-0807",
            "fax_number": "907-245-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6831 JEWEL LAKE RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995022823",
            "telephone_number": "907-245-0807",
            "fax_number": "907-245-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVDAHL",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.