# DIMOND CHIROPRACTIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588812580
- **Authorized official:** JAMES CHAVIS DC (OWNER)
- **Authorized official phone:** (907) 790-3371

## Contact information

- **Practice address:** 750 W DIMOND BLVD STE \#121, ANCHORAGE, AK 99515-1515
- **Practice address phone:** (907) 344-0033
- **Practice address fax:** (907) 344-6332
- **Mailing address:** 750 W DIMOND BLVD STE \#121, ANCHORAGE, AK 99515-1515
- **Mailing address phone:** (907) 344-0033
- **Mailing address fax:** (907) 344-6332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 261Q00000X | Clinic/Center | 105677 | AK | — |

## Other

- **Enumeration date:** 09/03/2008
- **Last updated:** 08/08/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1684500 | — | AK |