Active NPI
Chugach Sports Foot and Ankle, LLC
Doing business as Chugach Sports Foot and Ankle
- Podiatric Clinic/Center
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatric Clinic/Center
- Legal business name
- CHUGACH SPORTS FOOT AND ANKLE, LLC
- Doing business as
- Chugach Sports Foot and Ankle
- Practice address
- 4100 Lake Otis Pkwy Ste 300
Anchorage, AK 99508-5230 - Phone
- (907) 931-1726
- Fax
- (907) 931-9946
- NPI assigned
- Dec 16, 2024
- Last updated
- Sep 13, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jared Kern, DPM
- Title
- Manager
- Phone
- (907) 931-1726
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatric Clinic/Center | 261QP1100X | NU | Primary | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | NU |
Addresses
Primary practice location
4100 Lake Otis Pkwy Ste 300
Anchorage, AK 99508-5230
Mailing address
1120 Huffman Rd Ste 24-550
Anchorage, AK 99515-3516
Other practice location 1
1917 Abbott Rd Ste 100
Anchorage, AK 99507-3449
Phone (907) 931-1726
Other names 1
- Chugach Sports Foot and Ankle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
1120 Huffman Rd
Ste 24550
Anchorage, AK 99515
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Foot & Ankle Surgery Podiatrist
- Anchorage, AK
- NPI 1447424965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789257600000",
"number": "1396552964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 HUFFMAN RD STE 24-550",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995153516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 LAKE OTIS PKWY STE 300",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085230",
"telephone_number": "907-931-1726",
"fax_number": "907-931-9946"
}
],
"practiceLocations": [
{
"address_1": "1917 Abbott Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995073449",
"country_code": "US",
"telephone_number": "907-931-1726",
"fax_number": "907-931-9946",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CHUGACH SPORTS FOOT AND ANKLE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-16",
"last_updated": "2026-09-13",
"certification_date": "2026-09-13",
"status": "A",
"authorized_official_last_name": "KERN",
"authorized_official_first_name": "JARED",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "907-931-1726",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "261QP1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Podiatric",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Chugach Sports Foot and Ankle",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 13, 2026; 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.