Organization Active NPI

Arctic Chiropractic South LLC

Doing business as Arctic Chiropractic East Anchorage LLC

  • Chiropractor
  • Anchorage, AK
National Provider Identifier
1659864809
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Authorized official

Name
Edward FosterNPI 1790827806
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 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, and the practitioner matching its NPPES authorized official.

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.

Verify at the official NPI Registry.