Individual provider Active NPI

Kevin Michael Mulholland, DC

  • Chiropractor
  • Anchorage, AK
National Provider Identifier
1508632530
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
216747 Issued in AK
Practice address
2020 Abbott Rd Ste 2
Anchorage, AK 99507-4624
Phone
(907) 770-5700
Fax
(907) 770-5701
NPI assigned
Nov 30, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 216747 AK Primary

Addresses

Primary practice location

2020 Abbott Rd Ste 2
Anchorage, AK 99507-4624

Mailing address

2020 Abbott Rd Ste 2
Anchorage, AK 99507-4624
Phone (907) 770-5700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240112001673 AK Practitioner - Chiropractic 6103277231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2020 Abbott Rd
Suite 2
Anchorage, AK 99507-4624
Phone (907) 770-5700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
216747AKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mulholland Chiropractic Center, LLC CurrentSince Dec 12, 2023 Accepting new patients

Locations

2020 Abbott Rd
Ste 2
Anchorage, AK 99507
Phone (907) 770-5700

Organizations & group practices 1

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": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1508632530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 ABBOTT RD STE 2",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995074624",
            "telephone_number": "907-770-5700",
            "fax_number": "907-770-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 ABBOTT RD STE 2",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995074624",
            "telephone_number": "907-770-5700",
            "fax_number": "907-770-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULHOLLAND",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "216747",
            "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 Nov 30, 2023; 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.