Individual provider Active NPI

Jaime Renee Dequine, DC

  • Chiropractor
  • Sitka, AK
National Provider Identifier
1669707105
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
C000026 Issued in GU
Practice address
315 Lincoln St
Suite 207
Sitka, AK 99835-7546
Phone
(907) 747-2726
Fax
(907) 747-6126
NPI assigned
Oct 15, 2009
Last updated
Oct 15, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X C000026 GU Primary

Addresses

Primary practice location

315 Lincoln St
Suite 207
Sitka, AK 99835-7546

Mailing address

114 Knutson Dr
Sitka, AK 99835-9783
Phone (907) 738-3958

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C000026GUMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Beane Chiropractic Chiropractor Past Accepting new patients
Arctic Chiropractic Sitka LLC Chiropractor PastSince Jun 25, 2017 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255564800000",
    "number": "1669707105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 KNUTSON DR",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "998359783",
            "telephone_number": "907-738-3958",
            "fax_number": "907-747-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 LINCOLN ST",
            "address_2": "SUITE 207",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "998357546",
            "telephone_number": "907-747-2726",
            "fax_number": "907-747-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEQUINE",
        "first_name": "JAIME",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2009-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GU",
            "license": "C000026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sitka, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; 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.