Christensen Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

545 Issued in AK

Legal business name

CHRISTENSEN CHIROPRACTIC LLC

Practice address

701 S Knik Goose Bay Rd Ste C
Wasilla, AK 99654-8084

Phone

(907) 982-6798

NPI assigned

Jan 28, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Garrett Wallace Christensen, D.C.NPI 1265700678

Title

Owner/Manager

Phone

(907) 982-6798

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Locations

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

• Garrett Wallace Christensen, D.C.

  • Chiropractor
  • Wasilla, AK
  • NPI 1265700678

  AK

  Medicare reassignment Authorized official
• Danielle Olson

  • Massage Therapist
  • Wasilla, AK
  • NPI 1124699400
  NPD
• Annie C Willardson

  • Massage Therapist
  • Wasilla, AK
  • NPI 1215649850

  Single Specialty

  NPD
• Lora Ann Burton

  • Massage Therapist
  • Palmer, AK
  • NPI 1063256568
  NPD (past)
• Vanessa Campbell, LMT

  • Massage Therapist
  • Wasilla, AK
  • NPI 1407380454
  NPD (past)
• Alicia Henson

  • Massage Therapist
  • Wasilla, AK
  • NPI 1033995105
  NPD (past)
• Katrina Johnson

  • Massage Therapist
  • Wasilla, AK
  • NPI 1639671852
  NPD (past)

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1477976371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S KNIK GOOSE BAY RD STE C",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S KNIK GOOSE BAY RD STE C",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548084",
            "telephone_number": "907-982-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTENSEN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_middle_name": "WALLACE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "907-982-6798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH9032",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reed Eugene Childers
• Chanel Ching
• David Reginald Chisholm, MD, MD
• Dana Chmielowski
• Christopher Chong, PHARM.D.
• Garrett Wallace Christensen, D.C.
• Jacob Carl Christensen, DDS
• Todd S Christensen, DDS
• Christi Hill, Anp Family Psychiatry LLC
• Dane Lars Christiansen

• All providers in Wasilla, AK
• Chiropractor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.