Active NPI
Amy Cynowa Conklin, D.C.
- Chiropractor
- Anchorage, AK
National Provider Identifier
1669423927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 393
- Practice address
- 3333 Denali St
Suite 150
Anchorage, AK 99503-4038 - Phone
- (907) 563-7662
- Fax
- (907) 562-7662
- NPI assigned
- May 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 393 | AK | Primary |
Addresses
Primary practice location
3333 Denali St
Suite 150
Anchorage, AK 99503-4038
Mailing address
3333 Denali St
Suite 150
Anchorage, AK 99503-4038
Phone (907) 563-7662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3333 Denali St
Suite 150
Anchorage, AK 99503-4046
Phone (907) 563-7662
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 393 | AK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Health Inc | Past | Accepting new patients |
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.
-
- Clinic/Center
- Anchorage, AK
- NPI 1881632214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329782400000",
"number": "1669423927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 DENALI ST",
"address_2": "SUITE 150",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995034038",
"telephone_number": "907-563-7662",
"fax_number": "907-562-7662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 DENALI ST",
"address_2": "SUITE 150",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995034038",
"telephone_number": "907-563-7662",
"fax_number": "907-562-7662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONKLIN",
"first_name": "AMY",
"middle_name": "CYNOWA",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2012-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AK",
"license": "393",
"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 21, 2012; 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.