Organization Active NPI

Studio Health of Alaska, LLC

  • General Practice Physician
  • Anchorage, AK
National Provider Identifier
1942729991
Registry record updated Feb 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
STUDIO HEALTH OF ALASKA, LLC
Practice address
6711 Debarr Rd
Anchorage, AK 99504-1803
Phone
(907) 333-6525
NPI assigned
Sep 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2018

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

Authorized official

Name
Jeffery Rebarcak, DC
Title
Owner
Phone
(480) 302-1102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

6711 Debarr Rd
Anchorage, AK 99504-1803

Mailing address

1315 Macom Dr Ste 205
Naperville, IL 60564-9361
Phone (331) 256-5444

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518048000000",
    "number": "1942729991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 MACOM DR STE 205",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649361",
            "telephone_number": "331-256-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 DEBARR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041803",
            "telephone_number": "907-333-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUDIO HEALTH OF ALASKA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-11",
        "last_updated": "2018-02-08",
        "status": "A",
        "authorized_official_last_name": "REBARCAK",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-302-1102",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "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 Feb 8, 2018; 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.