Family Chiropractic Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

114 Issued in AK

Legal business name

FAMILY CHIROPRACTIC CENTER

Practice address

5121 Arctic Blvd
Suite E
Anchorage, AK 99503-7009

Phone

(907) 563-4111

Fax

(907) 563-4113

NPI assigned

Jun 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Simon William Carraway, DCNPI 1770547762

Title

Owner

Phone

(907) 563-4111

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Simon William Carraway, D.C.

  • Chiropractor
  • Anchorage, AK
  • NPI 1770547762
  NPD (past) Authorized official

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1407058100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220213",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995220213",
            "telephone_number": "907-563-4111",
            "fax_number": "907-563-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 ARCTIC BLVD",
            "address_2": "SUITE E",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995037009",
            "telephone_number": "907-563-4111",
            "fax_number": "907-563-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "CARRAWAY",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-563-4111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH0013",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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 Dec 14, 2007; 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.