LUMINARY INTEGRATED HEALTH INC (NPI# 1366901159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366901159 |
| Entity Type | Organization |
| Organization Name | LUMINARY INTEGRATED HEALTH INC |
| Practice Address |
1900 W Benson Blvd Ste 101 Anchorage AK 99517-1973 |
| Practice Telephone | 9072791838 |
| Practice Fax Number | 9072781811 |
| Mailing Telephone | 9072791838 |
| Mailing Fax Number | 9072781811 |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-19 |
| Authorized Official Name | DR. JUDD WATTENBARGER (OWNER) |
| Authorized Official Telephone | 9072791838 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
1900 W BENSON BLVD STE 101 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99517-1973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518421049 | Nicola Wilde | Massage Therapist | 1900 W Benson Blvd Ste 101, Anchorage, AK 99517-1973 | 2019-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871905679 | Luminary LLC | Massage Therapist | 1838 W. Northern Lights, Anchorage, AK 99517 | 2014-05-28 |
| 1447595129 | Antonina Ivanovna Shangraw | Behavioral Analyst | 2425 Captain Cook Dr, Anchorage, AK 99517 | 2012-12-06 |
| 1407000755 | James N. Duchanin | Physician Assistant | 3105 Lakeshore Dr., Bldg A, Ste 101, Anchorage, AK 99517 | 2008-11-13 |
| 1720290786 | Turnagain Foster Home | Assisted Living Facility | 2812 West 29th Ave, Anchorage, AK 99517 | 2007-05-04 |
| 1124244306 | Turnagain Foster Home | Taxi | 2900 West 29th Ave, Anchorage, AK 99517 | 2007-04-17 |
| 1497825798 | Scott Paul Mackie | Internal Medicine | 3710 Woodland Road, Suite 1100, Anchorage, AK 99517 | 2006-11-08 |
| 1629046446 | Ana Verzone | Nurse Practitioner | 3740 Clay Products Dr., Anchorage, AK 99517 | 2006-03-08 |
| 1740897503 | Far North Urology & Research PC | Urology | 2120 Sonstrom Dr, Anchorage, AK 99517-1018 | 2020-09-25 |
| 1376697011 | Celia Foley | Speech-Language Pathologist | 2515 Telequana Dr, Anchorage, AK 99517-1028 | 2007-01-22 |
| 1730122946 | Daryl A Young | Nurse Practitioner | 3611 Knik Avenue, Anchorage, AK 99517-1045 | 2006-06-14 |
| Find all providers in zip 99517 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932751377 | Anchorage Pain Solutions PC | Chiropractor | 8130 Old Seward Hwy Ste 104, Anchorage, AK 99518-3349 | 2019-07-16 |
| 1346705282 | Zachary Francis Ellingham-hodge | Chiropractor | 3210 Denali St Ste 1, Anchorage, AK 99503-4041 | 2019-02-05 |
| 1902380868 | Erinn Dirth | Chiropractor | 3509 Checkmate Dr, Anchorage, AK 99508-4927 | 2018-09-18 |
| 1659869089 | Alaska Spine & Pain Center, LLC | Chiropractor | 3901 Old Seward Hwy Ste 11, Anchorage, AK 99503 | 2018-05-01 |
| 1295242550 | Michael Olkjer | Chiropractor | 2511 Fairbanks St Ste A, Anchorage, AK 99503-2821 | 2018-01-08 |
| 1689035974 | Adkins Chiropractic PC | Chiropractor | 12570 Old Seward Hwy, Unit 101, Anchorage, AK 99515-3506 | 2016-03-14 |
| 1073985552 | Align Chiropractic LLC | Chiropractor | 2665 E. Tudor Rd, Anchorage, AK 99503 | 2015-10-23 |
| 1124494265 | Ryan Scott Fordt | Chiropractor | 2665 E Tudor Rd Ste 201, Anchorage, AK 99507 | 2015-08-12 |
| 1124403357 | Joshua Fidler | Chiropractor | 8130 Old Seward Hwy Ste 102, Anchorage, AK 99518-3349 | 2015-07-29 |
| 1881084754 | Adam Tudor | Chiropractor | 2665 E Tudor Rd, 201, Anchorage, AK 99507-1133 | 2015-01-30 |
| Find all providers in ANCHORAGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.