Organization Active NPI

Collins Chiropractic: a Creating Wellness Center, LLC

  • Chiropractor
  • Anchorage, AK
National Provider Identifier
1811126287
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
207 Issued in AK
Legal business name
COLLINS CHIROPRACTIC: A CREATING WELLNESS CENTER, LLC
Practice address
4007 Old Seward Hwy
Ste. 380
Anchorage, AK 99503-6075
Phone
(907) 276-0777
Fax
(907) 770-9192
NPI assigned
Jul 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

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

Authorized official

Name
Mr. John Joseph Collins, D.C.NPI 1194876276
Title
Owner
Phone
(907) 276-0777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 207 AK Primary

Addresses

Primary practice location

4007 Old Seward Hwy
Ste. 380
Anchorage, AK 99503-6075

Mailing address

4007 Old Seward Hwy
Ste. 380
Anchorage, AK 99503-6075
Phone (907) 276-0777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090818000317 AK Part B Supplier - Clinic/Group Practice 1658425103 Receives reassigned benefits from 1 practitioner
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory

Locations

4007 Old Seward Hwy
Ste 380
Anchorage, AK 99503
Phone (907) 276-0777

4007 Old Seward Hwy
Ste 38
Anchorage, AK 99503
Phone (907) 276-0777

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246924800000",
    "number": "1811126287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 OLD SEWARD HWY",
            "address_2": "STE. 380",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036075",
            "telephone_number": "907-276-0777",
            "fax_number": "907-770-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 OLD SEWARD HWY",
            "address_2": "STE. 380",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036075",
            "telephone_number": "907-276-0777",
            "fax_number": "907-770-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINS CHIROPRACTIC: A CREATING WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-07",
        "last_updated": "2009-07-07",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-276-0777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.