Active NPI
Keenan Johari Honore
- Massage Therapist
- Anchorage, AK
National Provider Identifier
1972308880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 225119
- Practice address
- 236 W 34TH Ave # 218
Anchorage, AK 99503-3977 - Phone
- (907) 290-5500
- Fax
- (907) 302-5990
- NPI assigned
- Feb 14, 2025
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 225119 | AK | Primary |
Addresses
Primary practice location
236 W 34TH Ave # 218
Anchorage, AK 99503-3977
Mailing address
236 W 34TH Ave
Anchorage, AK 99503-3977
Phone (907) 290-5500
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 |
|---|---|---|---|
| 225119 | AK | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739491200000",
"number": "1972308880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 W 34TH AVE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995033977",
"telephone_number": "907-290-5500",
"fax_number": "907-302-5990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 W 34TH AVE # 218",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995033977",
"telephone_number": "907-290-5500",
"fax_number": "907-302-5990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONORE",
"first_name": "KEENAN",
"middle_name": "JOHARI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-14",
"last_updated": "2025-02-14",
"certification_date": "2025-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AK",
"license": "225119",
"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 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.