1. Home
  2. Directory
  3. Alaska
  4. Wasilla
  5. Chiropractor
  6. NPI Profile

DR. BLAINE G UPHAM DC
NPI 1891838801
Chiropractor in Wasilla, AK

Active since February 15, 2007PECOS Enrolled
5461 E MAYFLOWER LN STE 6, WASILLA, AK 99654(907) 357-6688(907) 357-9655 Get Directions Write a Review

NPPES record last updated: March 18, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Blaine G Upham Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BLAINE G UPHAM DC (NPI 1891838801) is an individual chiropractor in Wasilla, Alaska, licensed in Alaska (584) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1891838801
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. BLAINE G UPHAMCredential: DC
Location Address5461 E MAYFLOWER LN STE 6Wasilla, AK 99654-7892
Mailing Address5461 E Mayflower Ln Ste 6Wasilla, AK 99654-7892 · (907) 357-6688 · Fax (907) 357-9655
Phone(907) 357-6688
Fax(907) 357-9655
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateFebruary 15, 2007
Last NPPES UpdateMarch 18, 2014
✔ NPI 1891838801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in AK · 584✔ Licensed in AZ · 5347
Definition
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.
5461 E MAYFLOWER LN STE 6, Wasilla, AK 99654
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type UnspecifiedZ74557AZ
Medicare UPIN680545951AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Blaine G Upham Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244215416
PECOS Enrollment IDI20120220000418
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIRSTEN LIN DANZER LMT
Massage Therapist
5461 E MAYFLOWER LN STE 6
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 357-6688
MARYSSA SCARCELLO LMT
Massage Therapist
5461 E MAYFLOWER LN STE 6
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 357-6688
ROCHELLE SCARCELLO-UPHAM MASSAGE THERAPIST
Massage Therapist
5461 E MAYFLOWER LN STE 6
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 357-6688
ERIC HURD
Chiropractor
5461 E MAYFLOWER LN STE 6
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 357-6688
JESSICA DAWSON LMT
Massage Therapist
5461 E MAYFLOWER LN STE 6
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 357-6688

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blaine Upham's NPI number?

The NPI number for Blaine Upham is 1891838801. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Blaine Upham located?

Blaine Upham practices at 5461 E Mayflower Ln Ste 6, Wasilla, AK 99654. The listed phone number is (907) 357-6688.

What is Blaine Upham's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Blaine Upham enrolled in Medicare?

Yes. Blaine Upham is registered in the Medicare PECOS enrollment system.

What insurance does Blaine Upham accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Blaine Upham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blaine Upham was last updated on March 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.