Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Blaine G Upham, DC

Individual provider Chiropractor · NPI 1891838801

Dr. Blaine G Upham, DC is a Chiropractic in Wasilla, Alaska. Qualified in 1994, 32 years ago. Licensed in Alaska and Arizona.

Years since qualifying
32
Licensed in
AK, AZ
In the registry since
2007
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

5461 E Mayflower Ln Ste 6
Wasilla, AK 99654-7892
Phone: (907) 357-6688
Fax: (907) 357-9655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 584 (AK)
Chiropractor Taxonomy 111N00000X · Licence 5347 (AZ)

Record details

NPI number1891838801
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedFebruary 15, 2007
Last updated in NPPESMarch 18, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Also practisesPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Not indicated

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