Unknown Individual – Chiropractor, NPI 1053367003

Unknown Individual is a healthcare provider. based in Anchorage, Alaska. specializing in Chiropractor. They hold a License No. 330 (AK). The NPI Number for Unknown Individual is 1053367003

Main info

Organization
Inactive
28 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1053367003
Phone
(907) 562-3411
Address
5905 LAKE OTIS PKWY
Deactivation Date
21 June 2021

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
-
Graduation Year
1998 (28 years ago)
PAC ID
6507883865
Professional Enrollment ID
I20051026001162
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Thai Orchid Restaurant, 5905, Lake Otis Parkway, Anchorage, Alaska, 99507, United States

    SUITE A

    ANCHORAGE, AK 995071705

    Phone: (907) 562-3411

    Fax: (907) 770-6328

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99507)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1053367003 uniquely identifies Unknown Individual in U.S. healthcare data.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Chiropractor. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Anchorage, Alaska in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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