Individual provider Active NPI

Garrett Paul Haponski, D.C.

  • Chiropractor
  • Ketchikan, AK
National Provider Identifier
1952540155
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIC487 Issued in AK
Practice address
320 Bawden St Ste 306
Ketchikan, AK 99901-6544
Phone
(907) 360-8887
Fax
(907) 225-5767
NPI assigned
Feb 11, 2009
Last updated
Aug 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 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 CHIC487 AK Primary

Addresses

Primary practice location

320 Bawden St Ste 306
Ketchikan, AK 99901-6544

Mailing address

320 Bawden St Ste 306
Ketchikan, AK 99901-6544
Phone (907) 360-8887

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100924001111 AK Practitioner - Chiropractic 2668598889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Keystone Chiropractic PCGroup PAC ID 8224334776, 2 clinicians

Practice addresses (Care Compare)

320 Bawden St
Suite 306
Ketchikan, AK 99901-6544
Phone (724) 816-9176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1952540155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 BAWDEN ST STE 306",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999016544",
            "telephone_number": "907-360-8887",
            "fax_number": "907-225-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BAWDEN ST STE 306",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999016544",
            "telephone_number": "907-360-8887",
            "fax_number": "907-225-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAPONSKI",
        "first_name": "GARRETT",
        "middle_name": "PAUL",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "CHIC487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ketchikan, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.