Active NPI
Andrea S Iverson, DC, DABCO
- Chiropractor
- Juneau, AK
National Provider Identifier
1811063191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 183
- Practice address
- 800 Glacier Ave
Ste 100
Juneau, AK 99801-1845 - Phone
- (907) 463-5557
- Fax
- (907) 463-5556
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 183 | AK | Primary |
Addresses
Primary practice location
800 Glacier Ave
Ste 100
Juneau, AK 99801-1845
Mailing address
PO Box 32924
Juneau, AK 99803-2924
Phone (907) 463-5557
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH0183 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 183 | AK | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196121600000",
"number": "1811063191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32924",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998032924",
"telephone_number": "907-463-5557",
"fax_number": "907-463-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 GLACIER AVE",
"address_2": "STE 100",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998011845",
"telephone_number": "907-463-5557",
"fax_number": "907-463-5556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVERSON",
"first_name": "ANDREA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DC, DABCO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2007-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AK",
"license": "183",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CH0183",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Juneau, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.