Northern Lights Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

NORTHERN LIGHTS CHIROPRACTIC, LLC

Practice address

505 W Northern Lights Blvd
Anchorage, AK 99503-2552

Phone

(907) 570-8916

NPI assigned

Dec 16, 2018

Organization subpart

No

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

Authorized official

Name

Wesley Moore, DCNPI 1023382694

Title

Owner/Chiropractor

Phone

(907) 570-8916

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Locations

Practitioners 1

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

• Wesley Moore, D.C.

  • Chiropractor
  • Anchorage, AK
  • NPI 1023382694
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545177600000",
    "number": "1881165116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16924 VANOVER CIR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778130",
            "telephone_number": "907-570-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W NORTHERN LIGHTS BLVD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032552",
            "telephone_number": "907-570-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN LIGHTS CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-19",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "907-570-8916",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Lighthouse Day Center
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• Northern Lights Assisted Living Home LLC
• Northern Lights Care Assisted Living Home
• Northern Lights Care Coordination
• Northern Lights Counseling and Consultation
• Northern Lights Dental Anesthesia, LLC
• Northern Lights Eye Care Inc.
• Northern Lights Living LLC
• Northern Lights Pharmacy, Inc.

• Chiropractor in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Chiropractor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.