Active NPI
Chance Jeffrey Charlton, D.C.
- Chiropractor
- Dillingham, AK
National Provider Identifier
1811007206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 125980
- Practice address
- 222 Main Street
Box 1227
Dillingham, AK 99576 - Phone
- (907) 842-2300
- Fax
- (907) 842-2303
- NPI assigned
- Aug 30, 2006
- Last updated
- Sep 25, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7333 | AZ | |
| Chiropractor | 111N00000X | 123799 | AK | |
| Chiropractor | 111N00000X | 125980 | AK | Primary |
Addresses
Primary practice location
222 Main Street
Box 1227
Dillingham, AK 99576
Mailing address
222 Main Street Box 1227
Dillingham, AK 99576-1227
Phone (907) 842-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123799 | AK | MD | Chiropractor |
| 125980 | AK | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lynn M Knuth, LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506297600000",
"number": "1811007206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 MAIN STREET BOX 1227",
"city": "DILLINGHAM",
"state": "AK",
"postal_code": "995761227",
"telephone_number": "907-842-2300",
"fax_number": "907-842-2303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 MAIN STREET",
"address_2": "BOX 1227",
"city": "DILLINGHAM",
"state": "AK",
"postal_code": "99576",
"telephone_number": "907-842-2300",
"fax_number": "907-842-2303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLTON",
"first_name": "CHANCE",
"middle_name": "JEFFREY",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2017-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "7333",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AK",
"license": "123799",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AK",
"license": "125980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dillingham, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.