Organization Active NPI

Progressive Inc

Doing business as Progressive Chiropractic

  • Chiropractor
  • Seward, AK
National Provider Identifier
1992987739
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
384 Issued in AK
Legal business name
PROGRESSIVE INC
Doing business as
Progressive Chiropractic
Practice address
11694 Seward Hwy
Suite C
Seward, AK 99664
Phone
(907) 224-8680
Fax
(907) 224-8910
NPI assigned
Dec 4, 2007
Last updated
Dec 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Lidia T Petersen, DCNPI 1174605141
Title
President
Phone
(907) 224-8680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 384 AK Primary

Addresses

Primary practice location

11694 Seward Hwy
Suite C
Seward, AK 99664

Mailing address

11694 Seward Hwy
Suite C
Seward, AK 99664
Phone (907) 224-8680

Other names 1

  • Progressive Chiropractic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1992987739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11694 SEWARD HWY",
            "address_2": "SUITE C",
            "city": "SEWARD",
            "state": "AK",
            "postal_code": "99664",
            "telephone_number": "907-224-8680",
            "fax_number": "907-224-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11694 SEWARD HWY",
            "address_2": "SUITE C",
            "city": "SEWARD",
            "state": "AK",
            "postal_code": "99664",
            "telephone_number": "907-224-8680",
            "fax_number": "907-224-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "LIDIA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-224-8680",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seward, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.