NPIMap

Organization Active NPI

Glennallen Chiropractic Center Apc

Doing business as Glennallen Chiropractic

  • Chiropractor
  • Glennallen, AK
National Provider Identifier
1699940908
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
162 Issued in AK
Legal business name
GLENNALLEN CHIROPRACTIC CENTER APC
Doing business as
Glennallen Chiropractic
Practice address
Mile 187 Glenn Hwy
Glennallen, AK 99588-0048
Phone
(907) 822-3353
Fax
(888) 826-0738
NPI assigned
Apr 28, 2008
Last updated
Apr 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Dr. Vickie J Willis, DCNPI 1417092735
Title
President
Phone
(907) 822-3353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 162 AK Primary

Addresses

Primary practice location

Mile 187 Glenn Hwy
Glennallen, AK 99588-0048

Mailing address

PO Box 48
Glennallen, AK 99588-0048
Phone (907) 822-3353

Other names 1

  • Glennallen Chiropractic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1699940908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48",
            "city": "GLENNALLEN",
            "state": "AK",
            "postal_code": "995880048",
            "telephone_number": "907-822-3353",
            "fax_number": "888-826-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MILE 187 GLENN HWY",
            "city": "GLENNALLEN",
            "state": "AK",
            "postal_code": "995880048",
            "telephone_number": "907-822-3353",
            "fax_number": "888-826-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENNALLEN CHIROPRACTIC CENTER APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-822-3353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glennallen Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glennallen, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.