ALASKA SPINE & PAIN CENTER, LLC (NPI# 1659869089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659869089 |
| Entity Type | Organization |
| Organization Name | ALASKA SPINE & PAIN CENTER, LLC |
| Practice Address |
3901 Old Seward Hwy Ste 11 Anchorage AK 99503 |
| Mailing Address |
500 E Benson Blvd Ste 103 Anchorage AK 99503-4148 |
| Practice Telephone | 9077709225 |
| Mailing Telephone | 9075614474 |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-11-16 |
| Authorized Official Name | CALEB JEREMIAH CRAIG (OWNER/ DOCTOR) |
| Authorized Official Telephone | 9075614474 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| N | 111NN0400X |
Chiropractor Specialization: Neurology |
Chiropractic Providers | ||
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1579313 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3901 Old Seward Hwy Ste 111, Anchorage, AK 995036089 | 9075614474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922338854 | Alaska Spine & Pain Center, LLC | Anesthesiology | 500 E Benson Blvd Ste 103, Anchorage, AK 99503 | 2009-12-24 |
| Street Address |
3901 OLD SEWARD HWY STE 11 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962040006 | Arctic Medical Center | Clinic/Center | 3901 Old Seward Hwy Ste 11, Anchorage, AK 99503-6089 | 2019-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020772 | Miladis Mcduffie | Massage Therapist | 1350 W. Northern Lights Blvd, Ste C, Anchorage, AK 99503 | 2020-10-15 |
| 1447804984 | Bethany Lynn Becker | Optometrist | 401 E. Northern Lights Blvd. Suite 102, Anchorage, AK 99503 | 2019-08-01 |
| 1265084933 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 2920 Seward Hwy, Anchorage, AK 99503 | 2019-07-12 |
| 1982268942 | Rukiyia Smith | Behavior Technician | 205 E Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-25 |
| 1245894310 | Mary Kathleen Tate | Specialist/Technologist | 205 E. Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-24 |
| 1194295766 | Kimberly Sue Trent | Registered Nurse | 670 W. Fireweed Lane Suite 160, Anchorage, AK 99503 | 2018-11-27 |
| 1235643123 | Rosanne Louise Klouda | Massage Therapist | 213 Fireweed Ln, Anchorage, AK 99503 | 2017-11-30 |
| 1801309042 | Online Care Group Alaska | General Practice | 200 W. 34th Ave, Anchorage, AK 99503 | 2017-11-09 |
| 1548773849 | Leslie K Michalski | Massage Therapist | 510 W Tudor Rd Ste 9, Anchorage, AK 99503 | 2017-11-08 |
| 1376075697 | Seven Principles Therapeutics | Clinic/Center | 505 W Northern Lights Bvld, Anchorage, AK 99503 | 2017-03-28 |
| Find all providers in zip 99503 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487265690 | Whole Family Integrated Wellness LLC | Clinic/Center | 600 E 36th Ave Ste 300, Anchorage, AK 99503-4168 | 2020-08-11 |
| 1528600947 | Southcentral Foundation | Clinic/Center | 6901 E Tudor Rd Ste 8, Anchorage, AK 99507-1254 | 2019-10-17 |
| 1811420391 | Southcentral Foundation | Clinic/Center | 1021 E 3rd Ave, Anchorage, AK 99501-6102 | 2017-04-11 |
| 1689021776 | Southcentral Foundation | Clinic/Center | 755 A St, Anchorage, AK 99501-3625 | 2016-05-18 |
| 1154591451 | La Integrative Primary Care Centre Inc | Clinic/Center | 8811 Toloff St, Anchorage, AK 99507-3848 | 2008-03-03 |
| 1720603095 | Southcentral Foundation | Clinic/Center | 4441 Diplomacy Dr, Anchorage, AK 99508-5910 | 2020-06-12 |
| 1124666730 | Southcentral Foundation | Clinic/Center | 4441 Diplomacy Dr, Anchorage, AK 99508-5910 | 2019-12-13 |
| 1174027296 | Southcentral Foundation | Clinic/Center | 4441 Diplomacy Dr, Anchorage, AK 99508-5910 | 2018-03-22 |
| 1407360977 | Full Spectrum Health, LLC | Clinic/Center | 307 E Northern Lights Blvd Ste 201, Anchorage, AK 99503-2701 | 2017-11-20 |
| 1194130823 | Peak Neurology and Sleep Medicine, LLC | Clinic/Center | 2741 Debarr Rd Ste C308, Anchorage, AK 99508 | 2014-06-20 |
| 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.