LANDIS TREVOR TEW (NPI# 1629179676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629179676 |
| Entity Type | Individual |
| Full Name | LANDIS TREVOR TEW |
| Credential | DC |
| Practice Address |
4007 Old Seward Hwy Suite 100 Anchorage AK 99503 |
| Practice Telephone | 9077706683 |
| Practice Fax Number | 9077700858 |
| Mailing Telephone | 9077706683 |
| Mailing Fax Number | 9077700858 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2018-01-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 355 | AK | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | CH0355 | 05 |
| Street Address |
4007 OLD SEWARD HWY SUITE 100 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265944532 | Maria Lucia Buzollo | Massage Therapist | 4007 Old Seward Hwy, Anchorage, AK 99503-6075 | 2017-10-26 |
| 1831436112 | Tb Mclaughlin Od A Professional Corp | Optometrist | 4007 Old Seward Hwy, Ste 1100, Anchorage, AK 99503-6075 | 2013-01-07 |
| 1811126287 | Collins Chiropractic: A Creating Wellness Center, LLC | Chiropractor | 4007 Old Seward Hwy, Ste. 380, Anchorage, AK 99503-6075 | 2009-07-07 |
| 1134266265 | Timothy B Mclaughlin | Optometrist | 4007 Old Seward Hwy, Suite 1100, Anchorage, AK 99503-6027 | 2007-01-30 |
| 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 |
| 1659869089 | Alaska Spine & Pain Center, LLC | Chiropractor | 3901 Old Seward Hwy Ste 11, Anchorage, AK 99503 | 2018-05-01 |
| 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 |
| Find all providers in zip 99503 | ||||
| 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.