James Philip Andrew Chavis, DC
Individual provider Active NPI Chiropractor · Juneau, AK
NPI 1831433713 · NPPES record last updated Nov 16, 2012
Key facts
- NPI
- 1831433713
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 559 (AK)
- Practice address
- 2243 Jordan Ave
Juneau, AK 99801-8050 - Phone
- (907) 888-9032
- NPI assigned
- Nov 16, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 559 | AK | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dimond Chiropractic LLC | Chiropractor | Past |
Accepting new patients |
| Arctic Chiropractic and Physical Medicine Ketchikan | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 559 | AK | Yes |
Addresses
Primary practice location
2243 Jordan Ave
Juneau, AK 99801-8050
Mailing address
308 Old Steese Hwy
Fairbanks, AK 99701-3126
Phone (907) 888-9032
Other providers in Juneau, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.