Active NPI
Guy Chris Mannino, D.C.
- Chiropractor
- Fairbanks, AK
National Provider Identifier
1902905482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 301
- Practice address
- 201 Old Steese Hwy Ste 4
Fairbanks, AK 99701-3160 - Phone
- (907) 474-0636
- Fax
- (907) 474-0637
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 301 | AK | Primary |
Addresses
Primary practice location
201 Old Steese Hwy Ste 4
Fairbanks, AK 99701-3160
Mailing address
201 Old Steese Hwy Ste 4
Fairbanks, AK 99701-3160
Phone (907) 474-0636
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 301 | AK | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JPJN Enterprises LLC | Chiropractor | Past | Accepting new patients |
| A&E, Inc. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Fairbanks, AK
- NPI 1780962639
-
- Chiropractor
- North Pole, AK
- NPI 1225224199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323734400000",
"number": "1902905482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 OLD STEESE HWY STE 4",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997013160",
"telephone_number": "907-474-0636",
"fax_number": "907-474-0637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 OLD STEESE HWY STE 4",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997013160",
"telephone_number": "907-474-0636",
"fax_number": "907-474-0637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNINO",
"first_name": "GUY",
"middle_name": "CHRIS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2011-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AK",
"license": "301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.