Northstar Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

360 Issued in AK

Legal business name

NORTHSTAR CHIROPRACTIC

Practice address

1700 E Bogard Rd
Building B, Suite 200
Wasilla, AK 99654-6563

Phone

(907) 357-4111

Fax

(907) 357-4199

NPI assigned

Dec 15, 2011

Last updated

Dec 15, 2011By 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

Ms. Sandra M Sandvik, LMT

Title

Office Manager/LMT

Phone

(907) 357-4111

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Ryan Duane Mangum, D.C.

  • Chiropractor
  • Wasilla, AK
  • NPI 1528258688
  NPD (past)

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1619246964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E BOGARD RD",
            "address_2": "BUILDING B, SUITE 200",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546563",
            "telephone_number": "907-357-4111",
            "fax_number": "907-357-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E BOGARD RD",
            "address_2": "BUILDING B, SUITE 200",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546563",
            "telephone_number": "907-357-4111",
            "fax_number": "907-357-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-15",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "SANDVIK",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER/LMT",
        "authorized_official_telephone_number": "907-357-4111",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Living Centers, LLC
• Northern Neurology, LLC
• Northern Orthopedics Inc (Hanger Clinic)
• Northern Psychiatry, LLC
• Northstar Assisted Living, Inc. (Ruthies Assisted Living)
• Northward Business Systems, LLC
• Northway Medical Laboratory, Inc.
• Northwest Medical, LLC.
• Northwoods Family Medicine, Inc
• Cynthia Norvell

• Chiropractor in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Chiropractor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.