NPIMap

Organization Active NPI

Arctic Chiropractic Valdez LLC

  • Chiropractor
  • Anchorage, AK
National Provider Identifier
1659611887
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ARCTIC CHIROPRACTIC VALDEZ LLC
Practice address
4000 W Dimond Blvd
Ste #4
Anchorage, AK 99502-1401
Phone
(907) 835-8777
Fax
(907) 835-8702
NPI assigned
Feb 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Authorized official

Name
Edward Foster, DC
Title
Member / Organizer
Phone
(907) 244-3268

Specialties & licenses 1

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

Addresses

Primary practice location

4000 W Dimond Blvd
Ste #4
Anchorage, AK 99502-1401

Mailing address

4000 W Dimond Blvd
Ste #4
Anchorage, AK 99502-1401
Phone (907) 835-8777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151002000329 AK Part B Supplier - Clinic/Group Practice 0648588129 Receives reassigned benefits from 2 practitioners
Practice locations: Valdez, AK

National Provider Directory

National Provider Directory

Practitioners 8

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": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1659611887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 W DIMOND BLVD",
            "address_2": "STE #4",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995021401",
            "telephone_number": "907-835-8777",
            "fax_number": "907-835-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 W DIMOND BLVD",
            "address_2": "STE #4",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995021401",
            "telephone_number": "907-835-8777",
            "fax_number": "907-835-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCTIC CHIROPRACTIC VALDEZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "MEMBER / ORGANIZER",
        "authorized_official_telephone_number": "907-244-3268",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.