Individual provider Active NPI

Mariah Nichole Hargrove, DC

  • Chiropractor
  • Anchorage, AK
National Provider Identifier
1871216309
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5378 Issued in NC
Practice address
3210 Denali St Ste 1
Anchorage, AK 99503-4041
Phone
(907) 677-6953
NPI assigned
Sep 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5378 NC Primary

Addresses

Primary practice location

3210 Denali St Ste 1
Anchorage, AK 99503-4041

Mailing address

1721 Beaver PL
Anchorage, AK 99504-2520
Phone (828) 507-9185

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230215002901 AK Practitioner - Chiropractic 4183096324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pairmore and Young Synergy Chiropractic LLCGroup PAC ID 3678662699, 5 clinicians

Practice addresses (Care Compare)

3210 Denali St
Suite 1
Anchorage, AK 99503-4041
Phone (907) 677-6953

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5378NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pairmore & Young: Synergy Chiropractic LLC Chiropractor CurrentSince Jan 1, 2023 Accepting new patients

Locations

3210 Denali St
Ste 1
Anchorage, AK 99503
Phone (907) 569-9355

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1871216309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 BEAVER PL",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995042520",
            "telephone_number": "828-507-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 DENALI ST STE 1",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034041",
            "telephone_number": "907-677-6953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGROVE",
        "first_name": "MARIAH",
        "middle_name": "NICHOLE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5378",
            "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 Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.