Anthony Endsley, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

AK345 Issued in AK

Practice address

102 E Redoubt Ave
Soldotna, AK 99669-8012

Phone

(907) 262-9117

Fax

(907) 260-3358

NPI assigned

Dec 28, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1790762003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E REDOUBT AVE",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996698012",
            "telephone_number": "907-262-9117",
            "fax_number": "907-260-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E REDOUBT AVE",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996698012",
            "telephone_number": "907-262-9117",
            "fax_number": "907-260-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDSLEY",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "AK345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PO6295",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH0345",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Stuart Eilender, MD
• Elite Rehabilitation PC
• Tricia Button Elliott McDonagh, M.D.
• Stephanie A Ellis, RRT
• Heath Franklin Emery
• Kimberly L England, PTA
• Lori Engler
• Jessica Escontrias, RN
• Kaylee Ann Estes, LMT
• Justin P Evans, M.D.

• All providers in Soldotna, AK
• Chiropractor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.