Alaska Spine & Pain Center, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ALASKA SPINE & PAIN CENTER, LLC

Practice address

3901 Old Seward Hwy Ste 11
Anchorage, AK 99503

Phone

(907) 770-9225

NPI assigned

May 1, 2018

Organization subpart

No

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

Authorized official

Name

Caleb Jeremiah Craig, DCNPI 1306991112

Title

Owner/ Doctor

Phone

(907) 561-4474

Specialties & licenses 4

Addresses

Other identifiers 1

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.

• Caleb Jeremiah Craig, D.C.

  • Nutrition Chiropractor
  • Anchorage, AK
  • NPI 1306991112
  Authorized official Same address or phone

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542326400000",
    "number": "1659869089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E BENSON BLVD STE 103",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034148",
            "telephone_number": "907-561-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 OLD SEWARD HWY STE 11",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99503",
            "telephone_number": "907-770-9225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Old Seward Hwy Ste 111",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995036089",
            "country_code": "US",
            "telephone_number": "907-561-4474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALASKA SPINE & PAIN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-11-16",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "CALEB",
        "authorized_official_middle_name": "JEREMIAH",
        "authorized_official_title_or_position": "OWNER/ DOCTOR",
        "authorized_official_telephone_number": "907-561-4474",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1579313",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alaska Specialty Hospital, LLC (Providence St Elias Specialty Hospital)
• Alaska Specialty Hospital, LLC (Providence St Elias Rehabilitation Unit)
• Alaska Specialty Hospital, LLC
• Alaska Speech & Hearing Clinic LLC
• Alaska Speech and Hearing
• Alaska Spine & Pain Center, LLC
• Alaska Spine Center, LLC
• Alaska Spine Institute
• Alaska Spine Institute Surgery Center, LLC (Alpine Surgery Center)
• Alaska Stairlift & Elevator, LLC

• Multi-Specialty Clinic/Center in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Multi-Specialty Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.