Individual provider Active NPI

James Harris, DC

  • Chiropractor
  • Eagle River, AK
National Provider Identifier
1639613961
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
148991 Issued in AK
Practice address
11431 Business Blvd Ste 601
Eagle River, AK 99577-7738
Phone
(907) 694-7700
Fax
(907) 694-7010
NPI assigned
Dec 6, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104557374 VA
Chiropractor 111N00000X CH12196 FL
Chiropractor 111N00000X 148991 AK Primary

Addresses

Primary practice location

11431 Business Blvd Ste 601
Eagle River, AK 99577-7738

Mailing address

11431 Business Blvd Ste 601
Eagle River, AK 99577-7738
Phone (907) 694-7700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191220002455 AK Practitioner - Chiropractic 9133553332 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11431 Business Blvd
Eagle River, AK 99577-7738
Phone (907) 694-7700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH12196FLMDChiropractor
0104557374VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro One Wellness Center of Eagle River LLC Chiropractor CurrentSince Jul 8, 2023 Accepting new patients
Arctic Chiropractic & Physical Medicine Eagle River LLC Chiropractor CurrentSince Oct 27, 2019 Accepting new patients

Locations

11431 Business Blvd
Ste 601
Eagle River, AK 99577
Phone (907) 694-7700

Organizations & group practices 2

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": "1480982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1639613961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11431 BUSINESS BLVD STE 601",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777738",
            "telephone_number": "907-694-7700",
            "fax_number": "907-694-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11431 BUSINESS BLVD STE 601",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777738",
            "telephone_number": "907-694-7700",
            "fax_number": "907-694-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-06",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557374",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12196",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "148991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.