Cornelius Botha, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

191246 Issued in AK

Practice address

541 W 36TH Ave
Anchorage, AK 99503-5804

Phone

(907) 561-1543

NPI assigned

Apr 12, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ireland Clinic of Chiropractic LLCGroup PAC ID 0547254435, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ireland Clinic of Chiropractic LLC

  • Chiropractor
  • Anchorage, AK
  • NPI 1780747030
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1346982907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 W 36TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035804",
            "telephone_number": "907-561-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 W 36TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035804",
            "telephone_number": "907-561-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTHA",
        "first_name": "CORNELIUS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "191246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chester Carl Bostek, CRNA, FNP
• Holly Boston, LMT
• Schuronda Ruth Boston
• Theresa Marie Bostwick, ANP
• Desiree Colien Boswell
• Hannah Botha, RN
• John K Botson, M.D., RPH
• Anne Marie Bott, PHARMD
• Angela Camille Bottom
• Karen Ivonne Bottorf

• Chiropractor in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Chiropractor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.