Chiro One Wellness Center of Eagle River LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHIRO ONE WELLNESS CENTER OF EAGLE RIVER LLC

Practice address

11431 Business Blvd
Eagle River, AK 99577-7754

Phone

(907) 694-7700

NPI assigned

May 25, 2023

Last updated

May 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stuart BernsenNPI 1386691566

Title

Ceo

Phone

(847) 912-2411

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Locations

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Harris, DC

  • Chiropractor
  • Eagle River, AK
  • NPI 1639613961
  Medicare reassignment NPD
• Stuart Bernsen, D.C.

  • Chiropractor
  • Evanston, IL
  • NPI 1386691566
  NPD (past) Authorized official
• Edward Foster, D.C.

  • Chiropractor
  • Anchorage, AK
  • NPI 1790827806
  NPD
• Desiree Jensen, LMT

  • Massage Therapist
  • Eagle River, AK
  • NPI 1801699806
  NPD
• Joseph M Shannon, LMT

  • Massage Therapist
  • Eagle River, AK
  • NPI 1922734326
  NPD
• Laura Huie

  • Physical Therapist
  • Saratoga, CA
  • NPI 1003471392
  NPD
• Sara Keating

  • Physical Therapist
  • Upper Montclair, NJ
  • NPI 1821522806
  NPD
• James Tyler Petersen, D.C.

  • Chiropractor
  • Cedar City, UT
  • NPI 1134439755
  NPD
• Lisa Radley, DPT, CSCS

  • Physical Therapist
  • Washington, DC
  • NPI 1083044689
  NPD
• Heather A Bitgood, PT, DPT

  • Physical Therapist
  • Wasilla, AK
  • NPI 1679022123
  NPD (past)
• Rhiannon Echeverria, LMT

  • Massage Therapist
  • Jber, AK
  • NPI 1164203824
  NPD (past)
• Samantha D Elliot, LMT

  • Massage Therapist
  • Eagle River, AK
  • NPI 1790206191
  NPD (past)

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1396437463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 BUTTERFIELD RD STE 301N",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231266",
            "telephone_number": "630-468-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11431 BUSINESS BLVD",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777754",
            "telephone_number": "907-694-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO ONE WELLNESS CENTER OF EAGLE RIVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "BERNSEN",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-912-2411"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Analisa Cederberg, ATC
• Center for Natural Medicine, Inc.
• Kaylan Chacon
• Bennett Eugene Chadwick
• Pierre Julien Chaperon
• Angela Choi, LPC, NCC
• Christian Counseling Online LLC
• Katheryne Christian, LMT
• Alyssa Rose Christopher
• Chugach Chiropractic Clinic LLC

• Chiropractor in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Chiropractor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.