Individual provider Active NPI

Dana August Hunter Manelick, D.C.

  • Chiropractor
  • Anchorage, AK
National Provider Identifier
1629447354
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
104323 Issued in AK
Practice address
541 W 36TH Ave
Anchorage, AK 99503-5804
Phone
(907) 561-1222
NPI assigned
Sep 23, 2015
Last updated
Sep 23, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 104323 AK Primary

Addresses

Primary practice location

541 W 36TH Ave
Anchorage, AK 99503-5804

Mailing address

541 W 36TH Ave
Anchorage, AK 99503-5804
Phone (907) 561-1222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151103002273 AK Practitioner - Chiropractic 9032429030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6921 E Garth Cir
Suite B
Palmer, AK 99645-5922
Phone (807) 745-5444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104323AKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Altitude Chiropractic LLC Chiropractor CurrentSince Mar 1, 2016 Accepting new patients

Locations

6921 E Garth Cir
#B
Palmer, AK 99645
Phone (807) 745-5444

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1629447354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 W 36TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035804",
            "telephone_number": "907-561-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 W 36TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035804",
            "telephone_number": "907-561-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANELICK",
        "first_name": "DANA AUGUST",
        "middle_name": "HUNTER",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "104323",
            "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 Sep 23, 2015; 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.