Canopy Health

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

Legal business name

CANOPY HEALTH

Practice address

2203 Jordan Ave
Juneau, AK 99801-8050

Phone

(907) 789-9549

Fax

(907) 789-3520

NPI assigned

Oct 21, 2022

Last updated

Apr 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jason Richard Nardi, DCNPI 1437592805

Title

Owner

Phone

(914) 224-5818

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Locations

Practitioners 4

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.

• Jason Richard Nardi, D.C.

  • Internist Chiropractor
  • Juneau, AK
  • NPI 1437592805
  Medicare reassignment NPD Authorized official
• Thomas Rogers Gundelfinger, D.C.

  • Rehabilitation Chiropractor
  • Juneau, AK
  • NPI 1275661142
  NPD
• David Ham

  • Massage Therapist
  • Juneau, AK
  • NPI 1689101461
  NPD (past)
• Albert Liu

  • Massage Therapist
  • Juneau, AK
  • NPI 1164959904
  NPD (past)

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1528785482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9204 EMILY WAY",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998018873",
            "telephone_number": "914-224-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 JORDAN AVE",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998018050",
            "telephone_number": "907-789-9549",
            "fax_number": "907-789-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANOPY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-21",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "NARDI",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-224-5818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Internist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Cody Callender
• Jenny Dee Calvin, PDHA2
• Jacqueline Campbell
• Luis Canela
• Sharlene Marie Cannon
• Deborah Cantrell
• Capital Cab Inc.
• Kelsi Capizzi, PHARMD
• Denise Carl
• Jeremiah Carlson

• Internist Chiropractor in Juneau, AK
• Providers in Juneau, AK by specialty
• Internist Chiropractor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.