SUMMIT CHIROPRACTIC LLC (NPI# 1295148229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295148229 |
| Entity Type | Organization |
| Organization Name | SUMMIT CHIROPRACTIC LLC |
| Practice Address |
753 Gaffney Rd Fairbanks AK 99701-4609 |
| Mailing Address |
308 Old Steese Hwy Fairbanks AK 99701-3126 |
| Practice Telephone | 9074790036 |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2019-07-31 |
| Authorized Official Name | ROBERT LEWIS (OWNER) |
| Authorized Official Telephone | 9074790036 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 308 Old Steese Hwy, Fairbanks, AK 997013126 | 2064594108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831626993 | Summit Chiropractic LLC | Chiropractor | 321 N Mall Dr Unit H102, St George, UT 84790-7341 | 2017-05-18 |
| 1669988192 | Summit Chiropractic LLC | Chiropractor | 392 Totowa Rd, Totowa, NJ 07512-2075 | 2017-12-20 |
| 1922417393 | Summit Chiropractic LLC | Chiropractor | 9333 Double R Blvd Ste 1600, Reno, NV 89521-4897 | 2014-08-10 |
| 1619263555 | Summit Chiropractic LLC | Chiropractor | 831 12th Ave, Longview, WA 98632-2403 | 2011-06-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | SUMMIT CHIROPRACTIC LLC | 831 12th Ave, Longview, WA 98632 |
| Street Address |
753 GAFFNEY RD |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-4609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780292136 | Caslea Joy Serina | Massage Therapist | 753 Gaffney Rd, Fairbanks, AK 99701-4609 | 2020-07-21 |
| 1841784402 | Christina Evans | Massage Therapist | 753 Gaffney Rd, Fairbanks, AK 99701-4609 | 2018-06-18 |
| 1013439678 | Barbara Ann Leder | Massage Therapist | 753 Gaffney Rd, Fairbanks, AK 99798 | 2017-07-14 |
| 1821510025 | Julia Renee Hall | Massage Therapist | 753 Gaffney Rd, Fairbanks, AK 99701-4609 | 2017-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| 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 |
|---|---|---|---|---|
| 1265053318 | Aimee Burgess Dc LLC | Chiropractor | 3875 Geist Rd Ste E136, Fairbanks, AK 99709-3564 | 2020-04-29 |
| 1831527274 | Lesley Suzanne Taylor | Chiropractor | 3514 International St, Fairbanks, AK 99701-7382 | 2013-10-22 |
| 1578849741 | Joshua Andrew Costello | Chiropractor | 1231 Noble St, Fairbanks, Fairbanks, AK 99701-4926 | 2011-11-01 |
| 1780962639 | A&e, Inc. | Chiropractor | 201 Old Steese Hwy, Ste 4, Fairbanks, AK 99701-3123 | 2011-07-26 |
| 1093043796 | A & E, Inc. | Chiropractor | 820 Smythe St, Fairbanks, AK 99701-4415 | 2009-11-18 |
| 1356584577 | William Andrew Tewson | Chiropractor | 29 College Rd Ste 8b1, Fairbanks, AK 99701-1739 | 2009-04-17 |
| 1598942807 | Ridgeview Chiropractic PC | Chiropractor | 570 Riverstone Way Ste 2, Fairbanks, AK 99709-2940 | 2008-01-29 |
| 1558548230 | Jessica Tomcykoski | Chiropractor | 932 6th Ave, Fairbanks, AK 99701-4329 | 2008-01-24 |
| 1104035633 | Richard Elson | Chiropractor | 308 5th Ave, Fairbanks, AK 99701-5026 | 2007-05-22 |
| 1245449362 | David Kirk Smith | Chiropractor | 899 Chena Pump Road, Suite B, Fairbanks, AK 99709 | 2007-05-22 |
| Find all providers in FAIRBANKS | ||||
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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.