Active NPI
Arctic Chiropractic South LLC
Doing business as Arctic Chiropractic East Anchorage LLC
- Chiropractor
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- ARCTIC CHIROPRACTIC SOUTH LLC
- Doing business as
- Arctic Chiropractic East Anchorage LLC
- Practice address
- 7731 E Northern Lights Blvd Ste 220
Anchorage, AK 99504-3572 - Phone
- (907) 280-9991
- NPI assigned
- Jun 12, 2018
- Last updated
- Jun 12, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward Foster
- Title
- Official
- Phone
- (907) 243-0660
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NU | Primary | |
| Physical Therapist | 225100000X | NU |
Addresses
Primary practice location
7731 E Northern Lights Blvd Ste 220
Anchorage, AK 99504-3572
Mailing address
1389 Huffman Park Dr Ste 140
Anchorage, AK 99515-3534
Phone (907) 222-6122
Other names 1
- Arctic Chiropractic East Anchorage LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151007003096 | AK | Part B Supplier - Clinic/Group Practice | 5496063653 |
Receives reassigned benefits from 3 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Anchorage, AK |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Anchorage, AK
- NPI 1790827806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528761600000",
"number": "1659864809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1389 HUFFMAN PARK DR STE 140",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995153534",
"telephone_number": "907-222-6122",
"fax_number": "907-205-5740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7731 E NORTHERN LIGHTS BLVD STE 220",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995043572",
"telephone_number": "907-280-9991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARCTIC CHIROPRACTIC SOUTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-12",
"last_updated": "2018-06-12",
"status": "A",
"authorized_official_last_name": "FOSTER",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "OFFICIAL",
"authorized_official_telephone_number": "907-243-0660"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Arctic Chiropractic East Anchorage LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Arctic Chiropractic East Anchorage LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jun 12, 2018; 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.