Organization Active NPI

Garden Chiropractic LLC

  • Chiropractor
  • Wasilla, AK
National Provider Identifier
1639368780
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
AK379 Issued in AK
Legal business name
GARDEN CHIROPRACTIC LLC
Practice address
1830 E Parks Hwy
Suite A120
Wasilla, AK 99654-7353
Phone
(907) 373-5054
Fax
(907) 373-5058
NPI assigned
Oct 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Julie A Garden
Title
Office Manager
Phone
(907) 373-5054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X AK379 AK Primary

Addresses

Primary practice location

1830 E Parks Hwy
Suite A120
Wasilla, AK 99654-7353

Mailing address

1830 E Parks Hwy
Suite A120
Wasilla, AK 99654-7353
Phone (907) 373-5054

Other identifiers 1

IdentifierTypeStateIssuer
CH22422MedicaidAK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1639368780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 E PARKS HWY",
            "address_2": "SUITE A120",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547353",
            "telephone_number": "907-373-5054",
            "fax_number": "907-373-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 E PARKS HWY",
            "address_2": "SUITE A120",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547353",
            "telephone_number": "907-373-5054",
            "fax_number": "907-373-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "GARDEN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "907-373-5054"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "AK379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH22422",
            "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 Nov 1, 2007; 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.