Arctic Pain Relief Center, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ARCTIC PAIN RELIEF CENTER, LLC

Practice address

1901 Airport Way Ste 102
Fairbanks, AK 99701-4049

Phone

(907) 374-1357

Fax

(907) 374-1356

NPI assigned

Jun 20, 2016

Last updated

Feb 15, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kyle Bergquist, DCNPI 1942397823

Title

Owner

Phone

(206) 713-4721

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Kyle Thomas Bergquist, D.C

  • Chiropractor
  • Seattle, WA
  • NPI 1942397823
  Authorized official Same address or phone

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1770933871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1190",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983831190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 AIRPORT WAY STE 102",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014049",
            "telephone_number": "907-374-1357",
            "fax_number": "907-374-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCTIC PAIN RELIEF CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "BERGQUIST",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-713-4721",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arctic Chiropractic Fairbanks, LLC
• Arctic Internal Medicine, PB
• Arctic Medical Transport LLC
• Arctic Midwives, LLC
• Arctic Pain Management Inc
• Arctic Pathways, LLC
• Arctic Physical Therapy & Rehabilitation Fairbanks, LLC
• Arctic Physical Therapy and Rehabilitation Fairbanks LLC
• Brandy Rene Arellano
• Julia Arenz, CCC-SLP

• Multi-Specialty Clinic/Center in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Multi-Specialty Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.