Arctic Physical Medicine Wasilla

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1305 Issued in AK

Legal business name

ARCTIC PHYSICAL MEDICINE WASILLA

Practice address

1830 E Parks Hwy Ste A120
Wasilla, AK 99654-7380

Phone

(206) 713-4721

NPI assigned

Aug 16, 2014

Last updated

Aug 16, 2014By 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 T BergquistNPI 1942397823

Title

Owner

Phone

(206) 713-4721

Specialties & licenses 1

Addresses

Locations

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": "1408147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408147200000",
    "number": "1790184646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 E PARKS HWY STE A120",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 E PARKS HWY STE A120",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547380",
            "telephone_number": "206-713-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCTIC PHYSICAL MEDICINE WASILLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-16",
        "last_updated": "2014-08-16",
        "status": "A",
        "authorized_official_last_name": "BERGQUIST",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-713-4721"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "1305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy L Appelo
• Robert Applebee
• Amy Aras
• Michael Gene Archer
• Arctic Pain Relief Center, LLC
• Arctic Rose Assisted Living Facility LLC
• Alison Armour, NP
• Ethan J. Arndt, OD
• Catherine Anne Arrigo, CLMT
• Ann J-a Arrisi

• Family Medicine Physician in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Family Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2014; 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.