ARCTIC CHIROPRACTIC WEST MAT-SU, LLC (NPI# 1013047117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013047117 |
| Entity Type | Organization |
| Organization Name | ARCTIC CHIROPRACTIC WEST MAT-SU, LLC |
| Practice Address |
Mile 51 George Parks Hwy #2 Big Lake AK 99652 |
| Mailing Address |
1150 S Colony Way Suite 3 Pmb 226 Palmer AK 99645-6900 |
| Practice Telephone | 9078927246 |
| Mailing Telephone | 9072507246 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. WALTER L CAMPBELL (OWNER) |
| Authorized Official Telephone | 9072507246 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 429 | AK | Chiropractic Providers |
| Street Address |
MILE 51 GEORGE PARKS HWY #2 |
| City | BIG LAKE |
| State | AK |
| Zip Code | 99652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394914 | Heather Ruth Edgren | Technician | 13784 W Airigin Dr, Big Lake, AK 99652 | 2020-07-23 |
| 1740745439 | Susan Olson Dmd Inc | Clinic/Center | 3261 S. Big Lake Rd. Ste D3-d4, Big Lake, AK 99652 | 2019-02-06 |
| 1306293428 | Renae Jean Nelson | Massage Therapist | 3498 South Lakeview Loop, Big Lake, AK 99652 | 2016-05-18 |
| 1568828614 | Lakeview Massage Therapy | Massage Therapist | 3498 S Lakeview Loop, Big Lake, AK 99652 | 2016-01-05 |
| 1679995435 | Julie Dittman | Registered Nurse | 14988 W. Fireweed Dr., Big Lake, AK 99652 | 2014-01-14 |
| 1891034575 | Kidability Physical Therapy, LLC | Physical Therapist | 6406 S. Gonder Road, Big Lake, AK 99652 | 2013-01-31 |
| 1912250804 | Valley Mover | Bus | 8336 W Parks Highway, Meadow Lakes, AK 99652 | 2012-10-17 |
| 1861637555 | Rainbow Medical Clinic | Physician Assistant | 10927 West Parks Hwy., Big Lake, AK 99652-0562 | 2008-12-09 |
| 1467824359 | Margaret Maixner | Nurse Practitioner | 7593 Larry's Lane, Big Lake, AK 99652-1792 | 2015-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011635 | Chad Talbot | Counselor | 19591 Station St Apt 308, Big Lake, MN 55309-9436 | 2020-07-28 |
| 1366051203 | Chrystle Williefay White | Massage Therapist | 12900 W Creek Frontage Rd, Big Lake, AK 99623-4880 | 2020-07-27 |
| 1073121166 | Kira Jeannette Powell | Dentist | 20460 County Road 11 Nw, Big Lake, MN 55309-4851 | 2020-07-15 |
| 1295353621 | Moriah Gabrielle Krueger | Counselor | 19900 214th Ave Nw, Big Lake, MN 55309-8977 | 2020-07-13 |
| 1356986475 | Barbro E Strom Langley | Technician | 16901 River View Cir, Big Lake, MN 55309 | 2019-11-13 |
| 1457901506 | Centracare Health System | Emergency Medicine | 121 Lake St N, Big Lake, MN 55309-9254 | 2019-09-19 |
| 1457821795 | Grant Michael Vickerman | Specialist/Technologist | 22037 181st St Nw, Big Lake, MN 55309-8243 | 2018-11-29 |
| 1053813956 | Donna Gotzian | Registered Nurse | 18874 243rd Ave Nw, Big Lake, MN 55309-8208 | 2018-03-06 |
| 1932614518 | Melissa Ann Poehler | Counselor | 410 Martin Ave, Big Lake, MN 55309-8004 | 2017-12-05 |
| 1952815359 | Carrie Crockford | Marriage & Family Therapist | 25526 189th St Nw, Big Lake, MN 55309-4509 | 2017-11-21 |
| Find all providers in BIG LAKE | ||||
| 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 |
|---|---|---|---|---|
| 1629388533 | Northstar Chiropractic & Wellness, P. A. | Chiropractor | 670 Humboldt Dr, Big Lake, MN 55309-9407 | 2010-10-13 |
| 1760548085 | Nathan E. Davidson | Chiropractor | 670 Humboldt Drive, Big Lake, MN 55309 | 2006-12-29 |
| 1639264757 | Gregory Thomas Smock | Chiropractor | 29 Lake St S, Big Lake, MN 55309-4588 | 2006-10-04 |
| 1376654673 | Tony Roy Smith | Chiropractor | 905 N Main Ave, Big Lake, TX 76932-3201 | 2006-08-31 |
| 1457539827 | Chad David Lieser | Chiropractor | 29 Lake St S, Big Lake, MN 55309-4588 | 2008-02-07 |
| 1548466113 | Christopher James Slice | Chiropractor | 29 Lake St S, Big Lake, MN 55309-4588 | 2007-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265053318 | Aimee Burgess Dc LLC | Chiropractor | 3875 Geist Rd Ste E136, Fairbanks, AK 99709-3564 | 2020-04-29 |
| 1154951408 | Richard Donald Bingham | Chiropractor | 622 1st Street, 201, Cordova, AK 99574 | 2020-01-24 |
| 1790335404 | Tami Lynn Hedges | Chiropractor | 13475 Charmley Cir, Eagle River, AK 99577-6825 | 2019-09-14 |
| 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 |
| 1316438724 | Puffin Chiropractic LLC | Chiropractor | 403 Overland Ave Ste A, Kenai, AK 99611-8050 | 2018-05-21 |
| 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 |
| 1104343334 | Elizabeth Reichert | Chiropractor | 1655 Okpik, Po Box 894, Barrow, AK 99723-0894 | 2017-08-28 |
| Find all providers with the same taxonomy | ||||
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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.