Individual provider Active NPI

Carolyn Marie Johnson-Snowder, D.C.

  • Chiropractor
  • Kenai, AK
National Provider Identifier
1811160153
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
340 Issued in AK
Practice address
130 S Willow St
Suite 7
Kenai, AK 99611-7744
Phone
(907) 283-3752
Fax
(907) 283-3792
NPI assigned
Apr 8, 2008
Last updated
Dec 21, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 340 AK Primary

Addresses

Primary practice location

130 S Willow St
Suite 7
Kenai, AK 99611-7744

Mailing address

130 S Willow St
Suite 7
Kenai, AK 99611-7744
Phone (907) 283-3752

Other names 1

  • Mrs. Carolyn Marie Snowder Other name

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

LicenseStateTypeSpecialty
340AKMDDentist

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": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292889600000",
    "number": "1811160153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S WILLOW ST",
            "address_2": "SUITE 7",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996117744",
            "telephone_number": "907-283-3752",
            "fax_number": "907-283-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S WILLOW ST",
            "address_2": "SUITE 7",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996117744",
            "telephone_number": "907-283-3752",
            "fax_number": "907-283-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-SNOWDER",
        "first_name": "CAROLYN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-08",
        "last_updated": "2010-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "SNOWDER",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kenai, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.