Active NPI
Lewis James Pagel, DC
- Chiropractor
- Kotzebue, AK
National Provider Identifier
1497851372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 455
- Practice address
- 151 Second Ave
Kotzebue, AK 99752-0970 - Phone
- (907) 442-4435
- Fax
- (907) 442-4405
- NPI assigned
- Sep 16, 2006
- Last updated
- Nov 19, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4682 | MN | |
| Chiropractor | 111N00000X | 455 | AK | Primary |
Addresses
Primary practice location
151 Second Ave
Kotzebue, AK 99752-0970
Mailing address
PO Box 970
Kotzebue, AK 99752-0970
Phone (907) 412-1785
Other practice location 1
501 E Bremner St
Valdez, AK, AK 99686-1706
Phone (907) 412-1785
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620142300 | Medicaid | MN | |
| 88G23PA | Other | MN | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4682 | MN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arctic Chiropractic Kotzebue, LLC | Chiropractor | Current | Accepting new patients |
| Arctic Chiropractic Valdez LLC | Chiropractor | Current | Accepting new patients |
| SG Chiropractic PC | Chiropractor | Past | Accepting new patients |
| Advanced Body Chiropractic PA | Chiropractor | Past | Accepting new patients |
Locations
1150 S Colony Way
Ste 3226
Palmer, AK 99645
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Kotzebue, AK
- NPI 1376673491
-
- Chiropractor
- Anchorage, AK
- NPI 1659611887
-
- Chiropractor
- Stewartville, MN
- NPI 1760588651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637280000000",
"number": "1497851372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 970",
"city": "KOTZEBUE",
"state": "AK",
"postal_code": "997520970",
"telephone_number": "907-412-1785",
"fax_number": "907-442-4405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 SECOND AVE",
"city": "KOTZEBUE",
"state": "AK",
"postal_code": "997520970",
"telephone_number": "907-442-4435",
"fax_number": "907-442-4405"
}
],
"practiceLocations": [
{
"address_1": "501 E Bremner St",
"address_purpose": "LOCATION",
"city": "Valdez, AK",
"state": "AK",
"postal_code": "996861706",
"country_code": "US",
"telephone_number": "907-412-1785",
"fax_number": "907-835-8702",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAGEL",
"first_name": "LEWIS",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2021-11-19",
"certification_date": "2021-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "4682",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AK",
"license": "455",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "620142300",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "88G23PA",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kotzebue, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.