Provider Demographics
NPI:1992889794
Name:RIGGS, AMBER D (DC)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:D
Last Name:RIGGS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4007 OLD SEWARD HWY STE 100
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-6077
Mailing Address - Country:US
Mailing Address - Phone:907-562-2273
Mailing Address - Fax:907-562-2263
Practice Address - Street 1:4007 OLD SEWARD HWY STE 100
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-6077
Practice Address - Country:US
Practice Address - Phone:907-562-2273
Practice Address - Fax:907-562-2263
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR283385111N00000X
AK375111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKCHO3751Medicaid
AK226016OtherPREMERA BLUE CROSS
612397100OtherDEPARTMENT OF LABOR