Individual provider Active NPI

Michael T McClaskey, DC

  • Chiropractor
  • Wasilla, AK
National Provider Identifier
1639187065
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIC591 Issued in AK
Practice address
546 N Main St
Wasilla, AK 99654-7019
Phone
(907) 376-2600
Fax
(907) 376-2605
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIC591 AK Primary

Addresses

Primary practice location

546 N Main St
Wasilla, AK 99654-7019

Mailing address

546 N Main St
Wasilla, AK 99654-7019
Phone (907) 376-2600

Other identifiers 1

IdentifierTypeStateIssuer
1643191MedicaidAK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160415001832 AK Practitioner - Chiropractic 2567498389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altair Integrative WellnessGroup PAC ID 9133553464, 5 clinicians

Practice addresses (Care Compare)

892 E USA Cir
Suite 108
Wasilla, AK 99654-7106
Phone (907) 357-1818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIC591AKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Altair Integrative Wellness CurrentSince Mar 31, 2025 Accepting new patients
Altair Chiropractic, LLC Chiropractor PastSince Mar 31, 2025 Accepting new patients
Z & D Management, Inc. Past Accepting new patients

Locations

892 E USA Cir
Ste 108
Wasilla, AK 99654
Phone (907) 357-1818

Organizations & group practices 3

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1639187065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 N MAIN ST",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547019",
            "telephone_number": "907-376-2600",
            "fax_number": "907-376-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 N MAIN ST",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547019",
            "telephone_number": "907-376-2600",
            "fax_number": "907-376-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLASKEY",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "CHIC591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1643191",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.