Individual provider Active NPI

Roxanne S Chan, L.AC., RN

  • Acupuncturist
  • Anchorage, AK
National Provider Identifier
1366603979
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
98 Issued in AK
Practice address
3343 Fairbanks St
Anchorage, AK 99503-4145
Phone
(907) 336-6692
Fax
(907) 336-6690
NPI assigned
Jun 17, 2008
Last updated
Jun 17, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 98 AK Primary

Addresses

Primary practice location

3343 Fairbanks St
Anchorage, AK 99503-4145

Mailing address

3343 Fairbanks St
Anchorage, AK 99503-4145
Phone (907) 336-6692

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)
Not enrolled
Credentials
Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1366603979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3343 FAIRBANKS ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034145",
            "telephone_number": "907-336-6692",
            "fax_number": "907-336-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3343 FAIRBANKS ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034145",
            "telephone_number": "907-336-6692",
            "fax_number": "907-336-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "ROXANNE",
        "middle_name": "S",
        "credential": "L.AC., RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AK",
            "license": "98",
            "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 Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.