Arctic Chiropractic Juneau LLC
Organization Active NPI Chiropractor · Juneau, AK
NPI 1497093926 · NPPES record last updated Jun 9, 2016
Key facts
- NPI
- 1497093926
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 559 (AK)
- Legal business name
- ARCTIC CHIROPRACTIC JUNEAU LLC
- Practice address
- 2243 Jordan Ave
Juneau, AK 99801-8050 - Phone
- (907) 790-3371
- Fax
- (907) 790-2102
- NPI assigned
- Jan 17, 2013
- Organization subpart
- No
Authorized official
- Name
- Mr. James Chavis, D.C.
- Title
- Manager
- Phone
- (907) 888-9032
Practitioners 8
-
Steven Michael Rupp, D.C.
-
Maria Tijerina-Burleson, D.C.
-
Rob Lewis, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130424000237 | AK | Part B Supplier - Clinic/Group Practice | 5597901389 |
Receives reassigned benefits from 7 practitioners Practice locations: Juneau, AK |
National Provider Directory
Locations
2243 Jordan Ave
Juneau, AK 99801
Phone (907) 790-3371
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 559 | AK | Yes |
| Physical Therapist |
225100000X | 104600 | AK |
Addresses
Primary practice location
2243 Jordan Ave
Juneau, AK 99801-8050
Mailing address
2243 Jordan Ave
Juneau, AK 99801-8050
Phone (907) 790-3371
Other providers in Juneau, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.