NPIMap

Organization Active NPI

Bionic Chiropractic

  • Chiropractor
  • Palmer, AK
National Provider Identifier
1750886016
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIC319 Issued in AK
Legal business name
BIONIC CHIROPRACTIC
Practice address
108 E Arctic Ave
Palmer, AK 99645-6254
Phone
(907) 745-4357
Fax
(907) 745-4606
NPI assigned
Mar 28, 2018
Reactivated
Feb 1, 2023
Last updated
Feb 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Susan Keuma
Title
Office Manager
Phone
(907) 745-4357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIC319 AK Primary

Addresses

Primary practice location

108 E Arctic Ave
Palmer, AK 99645-6254

Mailing address

108 E Arctic Ave
Palmer, AK 99645-6254
Phone (907) 745-4357

Other identifiers 1

IdentifierTypeStateIssuer
1000649MedicaidAK

National Provider Directory

National Provider Directory

Locations

108 E Arctic Ave
Palmer, AK 99645
Phone (907) 621-9621

Practitioners & affiliated clinicians

Practitioners 8

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": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1750886016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E ARCTIC AVE",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456254",
            "telephone_number": "907-745-4357",
            "fax_number": "907-745-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E ARCTIC AVE",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456254",
            "telephone_number": "907-745-4357",
            "fax_number": "907-745-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIONIC CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-28",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "deactivation_date": "2022-12-12",
        "reactivation_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "KEUMA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "907-745-4357"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "CHIC319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000649",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.