Individual provider Active NPI

Gregory M Culbert, DC

  • Chiropractor
  • Eagle River, AK
National Provider Identifier
1740494863
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
245 Issued in AK
Practice address
11723 Old Glenn Hwy Ste 101
Eagle River, AK 99577-7749
Phone
(907) 696-4878
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 245 AK Primary

Addresses

Primary practice location

11723 Old Glenn Hwy Ste 101
Eagle River, AK 99577-7749

Mailing address

11723 Old Glenn Hwy Ste 101
Eagle River, AK 99577-7749

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110127001166 AK Practitioner - Chiropractic 0840189684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11723 Old Glenn Hwy
Suite 101
Eagle River, AK 99577-7749
Phone (907) 696-4878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
245AKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Chiropractic, PC Chiropractor CurrentSince Apr 1, 2003 Accepting new patients

Locations

11723 Old Glenn Hwy
Ste 101
Eagle River, AK 99577
Phone (907) 696-4878

Interoperability endpoints

  • Direct secure messaging: agreg@ncp0003.direct.chirotouch.md

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, 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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1740494863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11723 OLD GLENN HWY STE 101",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11723 OLD GLENN HWY STE 101",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777749",
            "telephone_number": "907-696-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULBERT",
        "first_name": "GREGORY",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, AK

Sources for this page

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

Verify at the official NPI Registry.