Active NPI
Maya Radonich, DC
- Chiropractor
- Anchorage, AK
National Provider Identifier
1982115838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 125475
- Practice address
- 1000 Omalley Rd Ste 102
Anchorage, AK 99515-3083 - Phone
- (907) 349-5552
- NPI assigned
- Oct 18, 2017
- Sex
- Female
- 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 | 125475 | AK | Primary |
Addresses
Primary practice location
1000 Omalley Rd Ste 102
Anchorage, AK 99515-3083
Mailing address
1000 Omalley Rd Ste 102
Anchorage, AK 99515-3083
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171130000560 | AK | Practitioner - Chiropractic | 3779840715 | Practice locations: Anchorage, AK |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1000 O'Malley Rd
Suite 102
Anchorage, AK 99515-3083
Phone (907) 349-5552
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael Fleming, D.C., LLC | Chiropractor | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- Anchorage, AK
- NPI 1528017407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508284800000",
"number": "1982115838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 OMALLEY RD STE 102",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995153083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 OMALLEY RD STE 102",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995153083",
"telephone_number": "907-349-5552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADONICH",
"first_name": "MAYA",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-18",
"last_updated": "2017-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AK",
"license": "125475",
"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 Oct 18, 2017; 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.