Organization Active NPI

Living Well Professional Corporation

  • Chiropractor
  • Anchorage, AK
National Provider Identifier
1982888723
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
414 Issued in AK
Legal business name
LIVING WELL PROFESSIONAL CORPORATION
Doing business as
Pinnacle Chiroprpactic
Practice address
8130 Old Seward Hwy
Unit 102
Anchorage, AK 99518-3358
Phone
(563) 289-3076
NPI assigned
Dec 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Authorized official

Name
Dr. Brian L Glaus, D.C.
Title
Chiropractor
Phone
(563) 289-3076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 414 AK Primary

Addresses

Primary practice location

8130 Old Seward Hwy
Unit 102
Anchorage, AK 99518-3358

Mailing address

8130 Old Seward Hwy
Unit 102
Anchorage, AK 99518-3358

Other names 1

  • Pinnacle Chiroprpactic Doing business as

National Provider Directory

National Provider Directory

Locations

8130 Old Seward Hwy
Ste 102
Anchorage, AK 99518
Phone (907) 522-7466

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1982888723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8130 OLD SEWARD HWY",
            "address_2": "UNIT 102",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995183358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 OLD SEWARD HWY",
            "address_2": "UNIT 102",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995183358",
            "telephone_number": "563-289-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "GLAUS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "563-289-3076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Chiroprpactic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 18, 2013; 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.