Active NPI
Deloris Carolyn Brice
- Massage Therapist
- Fairbanks, AK
National Provider Identifier
1558043364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 212207
- Practice address
- 1741 College Rd
Fairbanks, AK 99709-4176 - Phone
- (907) 456-4521
- NPI assigned
- Aug 1, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 212207 | AK | Primary |
Addresses
Primary practice location
1741 College Rd
Fairbanks, AK 99709-4176
Mailing address
660 Wilcox Ave Apt 15
Fairbanks, AK 99709-3649
Phone (907) 371-7128
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 212207 | AK | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asian Acupuncture Bodywork and Herbs Inc | Past | Accepting new patients |
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.
-
- Acupuncturist
- Fairbanks, AK
- NPI 1770435596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1558043364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 WILCOX AVE APT 15",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997093649",
"telephone_number": "907-371-7128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1741 COLLEGE RD",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997094176",
"telephone_number": "907-456-4521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRICE",
"first_name": "DELORIS",
"middle_name": "CAROLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-01",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AK",
"license": "212207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.