NPIMap

Organization Active NPI

Landis Trevor Tew

  • Chiropractor
  • Anchorage, AK
National Provider Identifier
1689853798
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
355 AK Issued in AK
Legal business name
LANDIS TREVOR TEW
Practice address
1113 W Fireweed LN
Suite 100
Anchorage, AK 99503-1753
Phone
(907) 272-2700
Fax
(907) 272-2702
NPI assigned
Oct 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Authorized official

Name
Dr. L. Trevor Tew, D.C.
Title
Doctor of Chiropractic/President
Phone
(907) 272-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 355 AK AK Primary

Addresses

Primary practice location

1113 W Fireweed LN
Suite 100
Anchorage, AK 99503-1753

Mailing address

1113 W Fireweed LN
Suite 100
Anchorage, AK 99503-1753
Phone (907) 272-2700

Other names 1

  • Dr. L. Trevor Tew Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120703000202 AK Part B Supplier - Clinic/Group Practice 5698930311 Receives reassigned benefits from 1 practitioner
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory

Locations

1113 W Fireweed Ln
Ste 100
Anchorage, AK 99503
Phone (907) 272-2700

4000 Old Seward Hwy
Ste 101
Anchorage, AK 99503
Phone (907) 770-6683

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1689853798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 W FIREWEED LN",
            "address_2": "SUITE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995031753",
            "telephone_number": "907-272-2700",
            "fax_number": "907-272-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 W FIREWEED LN",
            "address_2": "SUITE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995031753",
            "telephone_number": "907-272-2700",
            "fax_number": "907-272-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDIS TREVOR TEW",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "TEW",
        "authorized_official_first_name": "L. TREVOR",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC/PRESIDENT",
        "authorized_official_telephone_number": "907-272-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "355 AK",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. L. Trevor Tew",
            "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 14, 2012; 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.