Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Chugach Sports Foot and Ankle, LLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1396552964

Chugach Sports Foot and Ankle, LLC provides Foot & Ankle Surgery Podiatrist services in Anchorage, Alaska. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4100 Lake Otis Pkwy Ste 300
Anchorage, AK 99508-5230
Phone: (907) 931-1726
Fax: (907) 931-9946
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1917 Abbott Rd Ste 100, Anchorage, AK 99507-3449 — (907) 931-1726

Specialties & licences

Podiatric Clinic/Center (primary) Taxonomy 261QP1100X
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X

Record details

NPI number1396552964
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jared Kern — Manager · (907) 931-1726
Other names Chugach Sports Foot And Ankle
NPI enumeratedDecember 16, 2024
Last updated in NPPESSeptember 13, 2026
Certification dateSeptember 13, 2026
Mailing address1120 Huffman Rd Ste 24-550, Anchorage, AK 99515-3516

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