Unknown Individual – Chiropractor, NPI 1639280936

Unknown Individual is a healthcare provider. based in Wasilla, Alaska. specializing in Chiropractor. They hold a License No. AK386 (AK). The NPI Number for Unknown Individual is 1639280936

Main info

Organization
Inactive
43 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1639280936
Phone
(907) 357-7463
Address
1701 N SEWARD MERIDIAN PKWY
Deactivation Date
28 February 2024

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
-
Graduation Year
1983 (43 years ago)
PAC ID
0749186534
Professional Enrollment ID
I20110208000637
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

  • North Seward Meridian Parkway, Wasilla, Matanuska-Susitna, Alaska, United States

    WASILLA, AK 996546682

    Phone: (907) 357-7463

    Fax: (907) 376-5270

    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 99654)

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Provider's Procedures

Unknown Individual performs procedures in Chiropractor. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CHIROPRACTICAK98940Chiropractic manipulative treatment, 1-2 spinal regions13646

Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1639280936 in the public NPI dataset.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Chiropractor. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Wasilla, Alaska may find Unknown Individual in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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