Individual provider Active NPI

Jonathan Fernando Ramirez, D.C.

  • Chiropractor
  • Wasilla, AK
National Provider Identifier
1720140049
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIC434 Issued in AK
Practice address
1751 E Gardner Way Ste D
Wasilla, AK 99654-6564
Phone
(907) 631-0776
Fax
(907) 313-1415
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIC434 AK Primary

Addresses

Primary practice location

1751 E Gardner Way Ste D
Wasilla, AK 99654-6564

Mailing address

1751 E Gardner Way Ste D
Wasilla, AK 99654-6564
Phone (907) 631-0776

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090429000401 AK Practitioner - Chiropractic 0345398442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1751 E Gardner Way
Suite D
Wasilla, AK 99654-6564
Phone (907) 631-0776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan F Ramirez DC LLC Chiropractor CurrentSince Mar 19, 2009 Accepting new patients

Locations

833 W Commercial Dr
Wasilla, AK 99654
Phone (907) 376-2475

1751 E Gardner Way
Ste D
Wasilla, AK 99654
Phone (907) 373-5950

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1720140049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 E GARDNER WAY STE D",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546564",
            "telephone_number": "907-631-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 E GARDNER WAY STE D",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546564",
            "telephone_number": "907-631-0776",
            "fax_number": "907-313-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "JONATHAN",
        "middle_name": "FERNANDO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "CHIC434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.

Verify at the official NPI Registry.