DR. COREY M PAVITT (NPI# 1134229776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134229776 |
| Entity Type | Individual |
| Full Name | DR. COREY M PAVITT |
| Credential | D.C. |
| Practice Address |
10004 Glacier Hwy Ste. B Juneau AK 99801-8560 |
| Practice Telephone | 9077902225 |
| Practice Fax Number | 9077895577 |
| Mailing Telephone | 9077902225 |
| Mailing Fax Number | 9077895577 |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2012-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHI 272 | AK | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | CH0272 | 05 | |
| FEDERAL TAX ID | 92-0146428 | 01 | |
| AK | TAT | 00020015225 | 01 |
| Street Address |
10004 GLACIER HWY STE. B |
| City | JUNEAU |
| State | AK |
| Zip Code | 99801-8560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205364619 | Tara Dawn Hansen | Massage Therapist | 10004 Glacier Hwy, Juneau, AK 99801-8560 | 2017-05-30 |
| 1275068736 | Charles Salinda | Massage Therapist | 10004 Glacier Hwy, Juneau, AK 99801-8560 | 2017-04-21 |
| 1346633799 | Jones Chiropractic Center P.C. | Chiropractor | 10004 Glacier Hwy, Ste B, Juneau, AK 99801-8560 | 2015-03-10 |
| 1568698686 | Stefanie Marie Jones | Chiropractor | 10004 Glacier Hwy, Ste B, Juneau, AK 99801-8560 | 2009-06-03 |
| 1730366568 | Lucrecia L. Mervine | Physical Therapist | 10004 Glacier Hwy, Juneau, AK 99801-8560 | 2008-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225652407 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1600 Renninger St, Juneau, AK 99801 | 2020-06-03 |
| 1316561590 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2901 Riverside Dr, Juneau, AK 99801 | 2020-06-03 |
| 1366066540 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3400 Tongass Blvd, Juneau, AK 99801 | 2020-06-03 |
| 1134743313 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3800 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1235753419 | Juneau Youth Services, Inc. | Community/Behavioral Health | 9001 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1043834245 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Loop Rd, Juneau, AK 99801 | 2020-06-03 |
| 1295359511 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10801 Black Bear Rd, Juneau, AK 99801 | 2020-06-02 |
| 1700400033 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-02 |
| 1831733351 | Monalisa Vaolete Lauofo | Counselor | 5594 Aisek Street, Juneau, AK 99801 | 2019-10-29 |
| 1245873033 | Ryan Isadore | Counselor | 1613 Anka Street, Juneau, AK 99801 | 2019-10-24 |
| Find all providers in zip 99801 | ||||
| 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 |
|---|---|---|---|---|
| 1154751394 | Joshua Weight | Chiropractor | 2201 Dunn St Ste 2, Juneau, AK 99801-9480 | 2013-11-26 |
| 1316119928 | Alaska Health Options Inc | Chiropractor | 2075 Jordan Ave Ste 100, Juneau, AK 99801-8095 | 2008-03-24 |
| 1215108683 | Alliance Chiropractic Health Center Inc. | Chiropractor | 2243 Jordan Ave, Juneau, AK 99801-8050 | 2008-03-13 |
| 1992824577 | Daniel W Holt | Chiropractor | 8391 Airport Blvd, Juneau, AK 99801-8065 | 2007-03-28 |
| 1225057268 | Jennifer Lynn Jozwiak | Chiropractor | 10301 Glacier Hwy Ste 120, Juneau, AK 99801-8565 | 2006-07-19 |
| 1457306375 | Juneau Chiropractic Center | Chiropractor | 170 S Western Ave, Juneau, WI 53039-1161 | 2006-05-23 |
| 1821554825 | William Dylan Voges | Chiropractor | 2243 Jordan Ave, Juneau, AK 99801-8050 | 2019-02-14 |
| 1073029377 | Collin Kuoppala | Chiropractor | 2201 Dunn St Ste 2, Juneau, AK 99801-9480 | 2017-12-21 |
| 1164965083 | Steven Michael Rupp | Chiropractor | 2243 Jordan Ave, Juneau, AK 99801-8050 | 2016-11-25 |
| 1346633799 | Jones Chiropractic Center P.C. | Chiropractor | 10004 Glacier Hwy, Ste B, Juneau, AK 99801-8560 | 2015-03-10 |
| Find all providers in JUNEAU | ||||
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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.