Organization Active NPI

Alaska Advanced Care Chiropractic

  • Chiropractor
  • Soldotna, AK
National Provider Identifier
1497959431
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
376 Issued in AK
Legal business name
ALASKA ADVANCED CARE CHIROPRACTIC
Practice address
35561B Kenai Spur Hwy
Soldotna, AK 99669-7625
Phone
(907) 262-6050
Fax
(907) 262-7470
NPI assigned
Jun 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Matthew Allan Pyhala, DCNPI 1265529085
Title
Manager
Phone
(907) 262-6050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 376 AK Primary

Addresses

Primary practice location

35561B Kenai Spur Hwy
Soldotna, AK 99669-7625

Mailing address

35561B Kenai Spur Hwy
Soldotna, AK 99669-7625
Phone (907) 262-6050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070703000124 AK Part B Supplier - Clinic/Group Practice 9032219175 Receives reassigned benefits from 1 practitioner
Practice locations: Soldotna, AK

National Provider Directory

National Provider Directory

Locations

35561B Kenai Spur Hwy
Soldotna, AK 99669
Phone (907) 262-6050

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497959431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35561B KENAI SPUR HWY",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697625",
            "telephone_number": "907-262-6050",
            "fax_number": "907-262-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35561B KENAI SPUR HWY",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697625",
            "telephone_number": "907-262-6050",
            "fax_number": "907-262-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA ADVANCED CARE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PYHALA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "907-262-6050",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.