Active NPI
Kanady Chiropractic Center, Inc
- Chiropractor
- Anchorage, AK
National Provider Identifier
1508045618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 176 AK
- Legal business name
- KANADY CHIROPRACTIC CENTER, INC
- Practice address
- 1113 W Fireweed LN
Suite 100
Anchorage, AK 99503-1753 - Phone
- (907) 272-2700
- Fax
- (907) 272-2702
- NPI assigned
- Oct 25, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Timothy K Kanady, D.C.
- Title
- Doctor of Chiropractic President
- Phone
- (907) 272-2700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 5
-
Timothy K Kanady, D.C.
-
Mason D McCloskey, DC, CSCS
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110606000254 | AK | Part B Supplier - Clinic/Group Practice | 4981881638 |
Receives reassigned benefits from 2 practitioners Practice locations: Anchorage, AK |
National Provider Directory
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 176 AK | AK | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1113 W Fireweed LN
Suite 100
Anchorage, AK 99503-1753
Mailing address
1113 W Fireweed LN
Suite 100
Anchorage, AK 99503-1753
Phone (907) 272-2700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 29, 2007.
{
"created_epoch": "1193270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193616000000",
"number": "1508045618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1113 W FIREWEED LN",
"address_2": "SUITE 100",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995031753",
"telephone_number": "907-272-2700",
"fax_number": "907-272-2702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1113 W FIREWEED LN",
"address_2": "SUITE 100",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995031753",
"telephone_number": "907-272-2700",
"fax_number": "907-272-2702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KANADY CHIROPRACTIC CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-25",
"last_updated": "2007-10-29",
"status": "A",
"authorized_official_last_name": "KANADY",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC PRESIDENT",
"authorized_official_telephone_number": "907-272-2700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "AK",
"license": "176 AK",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.