Active NPI
Judd Wattenbarger, D.C.
- Chiropractor
- Anchorage, AK
National Provider Identifier
1336153568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 542
- Practice address
- 2011 Abbott Rd Ste C
Anchorage, AK 99507-3422 - Phone
- (303) 995-1622
- Fax
- (907) 345-7546
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5785 | CO | |
| Chiropractor | 111N00000X | 542 | AK | Primary |
Addresses
Primary practice location
2011 Abbott Rd Ste C
Anchorage, AK 99507-3422
Mailing address
2011 Abbott Rd Ste C
Anchorage, AK 99507-3422
Phone (303) 995-1622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5785 | CO | MD | Mental Health Counselor |
| 542 | AK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimus Vitae LLC | Chiropractor | Current | Accepting new patients |
| Cotter Family Chiropractic, P.C. | Chiropractor | Past | Accepting new patients |
Locations
2011 Abbott Rd
Ste C
Anchorage, AK 99507
Phone (303) 995-1622
Organizations & group practices 2
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.
-
- Chiropractor
- Anchorage, AK
- NPI 1225606395
-
- Chiropractor
- Littleton, CO
- NPI 1477747533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1336153568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 ABBOTT RD STE C",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995073422",
"telephone_number": "303-995-1622",
"fax_number": "907-345-7546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 ABBOTT RD STE C",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995073422",
"telephone_number": "303-995-1622",
"fax_number": "907-345-7546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTENBARGER",
"first_name": "JUDD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "5785",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AK",
"license": "542",
"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 Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.