Anderson Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3418 Issued in OK

Legal business name

ANDERSON CHIROPRACTIC PC

Practice address

128 North Oakwood Road
Enid, OK 73703

Phone

(580) 234-2700

Fax

(580) 234-3338

NPI assigned

Nov 14, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Russell Dean Anderson, DCNPI 1609097260

Title

President

Phone

(580) 234-2700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Russell D Anderson, D.C.

  • Chiropractor
  • Enid, OK
  • NPI 1609097260
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013089523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 NORTH OAKWOOD ROAD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "73703",
            "telephone_number": "580-234-2700",
            "fax_number": "580-234-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 NORTH OAKWOOD ROAD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "73703",
            "telephone_number": "580-234-2700",
            "fax_number": "580-234-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-234-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alpha Assessment & Counseling
• Shelly Alvarado, CRNA
• Amanda Percival, PLLC
• Ambulatory Surgery Center of Enid, LLC
• Kelly Amos
• Christopher Michael Anderson
• Jeffrey D. Anderson, LPC
• Linda Sue Anderson, LADC, LPC
• Ronald Carroll Anderson, LPC IN CANDIDACY
• Russell D Anderson, D.C.

• All providers in Enid, OK
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.