Individual provider Active NPI

Dwayne Harry Engelbrecht, D.C.

  • Chiropractor
  • Palmer, AK
National Provider Identifier
1487890646
Registry record updated Dec 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
472 Issued in AK
Practice address
1901 E. Hemmer Rd
Palmer, AK 99645
Phone
(907) 746-7842
Fax
(907) 745-7883
NPI assigned
Dec 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 472 AK Primary

Addresses

Primary practice location

1901 E. Hemmer Rd
Palmer, AK 99645

Mailing address

P.O. Box 764
Palmer, AK 99645
Phone (907) 746-7842

Other identifiers 1

IdentifierTypeStateIssuer
472OtherAKALASKA CHIROPRACTIC ASSOCIATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170531000316 AK Practitioner - Chiropractic 1951685643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arctic Chiropractic East Mat-Su LLCGroup PAC ID 5193001600, 8 clinicians

Practice addresses (Care Compare)

1734 N Prospect Dr
Palmer, AK 99645-9655
Phone (907) 746-7842

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
472AKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Arctic Medical Center Matsu CurrentSince Aug 1, 2020 Accepting new patients
Arctic Chiropractic East Mat-Su LLC Chiropractor CurrentSince Jul 11, 2011 Accepting new patients

Locations

1150 S Colony Way
Ste 3
Palmer, AK 99645

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229558400000",
    "number": "1487890646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 764",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "99645",
            "telephone_number": "907-746-7842",
            "fax_number": "907-745-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 E. HEMMER RD",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "99645",
            "telephone_number": "907-746-7842",
            "fax_number": "907-745-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELBRECHT",
        "first_name": "DWAYNE",
        "middle_name": "HARRY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-18",
        "last_updated": "2008-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALASKA CHIROPRACTIC ASSOCIATION",
            "identifier": "472",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.