Organization Active NPI

Luminary Integrated Health Inc

  • Chiropractor
  • Anchorage, AK
National Provider Identifier
1366901159
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LUMINARY INTEGRATED HEALTH INC
Practice address
1900 W Benson Blvd Ste 101
Anchorage, AK 99517-1973
Phone
(907) 279-1838
Fax
(907) 278-1811
NPI assigned
Mar 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Authorized official

Name
Dr. Judd Wattenbarger, DC
Title
Owner
Phone
(907) 279-1838

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

1900 W Benson Blvd Ste 101
Anchorage, AK 99517-1973

Mailing address

1900 W Benson Blvd Ste 101
Anchorage, AK 99517-1973
Phone (907) 279-1838

National Provider Directory

National Provider Directory

Locations

1900 W Benson Blvd
Ste 101
Anchorage, AK 99517
Phone (907) 279-1838

Practitioners & affiliated clinicians

Practitioners 1

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": "1552953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1366901159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W BENSON BLVD STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995171973",
            "telephone_number": "907-279-1838",
            "fax_number": "907-278-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W BENSON BLVD STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995171973",
            "telephone_number": "907-279-1838",
            "fax_number": "907-278-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINARY INTEGRATED HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "WATTENBARGER",
        "authorized_official_first_name": "JUDD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-279-1838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 19, 2019; 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.