Citycenterchiropractic Inc

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

AA185 Issued in AK

Legal business name

CITYCENTERCHIROPRACTIC INC

Practice address

800 Glacier Ave
Juneau, AK 99801-1855

Phone

(907) 463-5255

Fax

(907) 463-5090

NPI assigned

Sep 17, 2010

Last updated

Nov 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Birger I Baastrup, D.C.NPI 1326114984

Title

Clinic Director

Phone

(907) 463-5255

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Birger I Baastrup, D.C.

  • Sports Physician Chiropractor
  • Juneau, AK
  • NPI 1326114984
  Authorized official Same address or phone

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1932417466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 GLACIER AVE",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998011855",
            "telephone_number": "907-463-5255",
            "fax_number": "907-463-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GLACIER AVE",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998011855",
            "telephone_number": "907-463-5255",
            "fax_number": "907-463-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITYCENTERCHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "BAASTRUP",
        "authorized_official_first_name": "BIRGER",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "907-463-5255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "AK",
            "license": "AA185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Christensen
• Peter Christian, RN CDE
• Christine Moleski, DMD, P.C.
• Chrysalis Counseling, LLC
• City Center Chiropractic
• Kaitlyn Clark, APRN
• Michelle Denise Clark, R.N.
• Victoria Clark
• Zachary Clark
• Meganne Jean Marie Clarke

• Sports Physician Chiropractor in Juneau, AK
• Providers in Juneau, AK by specialty
• Sports Physician Chiropractor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.