Laurel Street Chiropractic & Spa PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

AA219 Issued in AK

Legal business name

LAUREL STREET CHIROPRACTIC & SPA PC

Practice address

4119 Laurel Street
Anchorage, AK 99508

Phone

(907) 248-2848

Fax

(907) 258-6610

NPI assigned

Oct 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stan R Throckmorton, D.C. DABCI

Title

Owner

Phone

(907) 248-2848

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1790973972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 LAUREL STREET",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-248-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 LAUREL STREET",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-248-2848",
            "fax_number": "907-258-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL STREET CHIROPRACTIC & SPA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "THROCKMORTON",
        "authorized_official_first_name": "STAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-248-2848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C. DABCI"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "AA219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH0219",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sydney Lee Laudon, DMD
• Brian Laufer, D.O.
• Michelle Barton Laufer, MD
• Timothy Noah Laufer, M.D.
• June Lauina-Ponitini
• Laurel Street Chiropractic & Spa, Joint Effort, L.L.C.
• Tyler E Laurence, MD
• Maureen Laureta
• Laurie Hartleydba Advanced Hand & Orthopedics
• Laurie J. Bleicher, M.D., LLC

• Chiropractor in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Chiropractor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.