Individual provider Active NPI

Laura Marie Homacki, D.C.

  • Chiropractor
  • Unalaska, AK
National Provider Identifier
1285092965
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
106378 Issued in AK
Practice address
372 Bayview Ave
Unalaska, AK 99685
Phone
(907) 581-3550
NPI assigned
Feb 9, 2016
Last updated
Feb 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 106378 AK Primary

Addresses

Primary practice location

372 Bayview Ave
Unalaska, AK 99685

Mailing address

PO Box 208
Unalaska, AK 99685-0208
Phone (484) 651-5203

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191202000540 AK Practitioner - Chiropractic 6406289685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arctic Chiropractic and Physical Medicine KodiakGroup PAC ID 5294099495, 4 clinicians

Practice addresses (Care Compare)

326 Ctr Ave
Suite 100
Kodiak, AK 99615-7302
Phone (907) 486-4042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
106378AKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Arctic Chiropractic and Physical Medicine Kodiak CurrentSince Sep 7, 2019 Accepting new patients

Locations

326 Center Ave
Ste 100
Kodiak, AK 99615
Phone (907) 486-4042

1150 S Colony Way
Ste 3
Palmer, AK 99645

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1285092965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208",
            "city": "UNALASKA",
            "state": "AK",
            "postal_code": "996850208",
            "telephone_number": "484-651-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 BAYVIEW AVE",
            "city": "UNALASKA",
            "state": "AK",
            "postal_code": "99685",
            "telephone_number": "907-581-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMACKI",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "106378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Unalaska, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.