Organization Active NPI

Tower Joint Replacement Clinic

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Anchorage, AK
National Provider Identifier
1336532274
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
S3012 Issued in AK
Legal business name
TOWER JOINT REPLACEMENT CLINIC
Practice address
2401 E 42ND Ave Ste 101
Anchorage, AK 99508-5228
Phone
(907) 222-2924
NPI assigned
Mar 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Authorized official

Name
Julie Veronick
Title
Practice Administrator
Phone
(907) 222-2924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0114X S3012 AK Primary

Addresses

Primary practice location

2401 E 42ND Ave Ste 101
Anchorage, AK 99508-5228

Mailing address

2401 E 42ND Ave Ste 101
Anchorage, AK 99508-5228
Phone (907) 222-2924

Other identifiers 2

IdentifierTypeStateIssuer
1631591MedicaidAK
MD30121MedicaidAK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150805008587 AK Part B Supplier - Clinic/Group Practice 0143534008 Receives reassigned benefits from 2 practitioners
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory

Locations

4100 Lake Otis Pkwy
Ste 300
Anchorage, AK 99508
Phone (907) 222-2924

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1336532274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 E 42ND AVE STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085228",
            "telephone_number": "907-222-2924",
            "fax_number": "907-222-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 E 42ND AVE STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085228",
            "telephone_number": "907-222-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWER JOINT REPLACEMENT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "VERONICK",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "907-222-2924"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "AK",
            "license": "S3012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1631591",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD30121",
            "state": "AK"
        }
    ],
    "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 Jul 21, 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.