Kevin L Anderson DC PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

51000104A Issued in IN

Legal business name

KEVIN L ANDERSON DC PC

Practice address

1227 W Oak St
Zionsville, IN 46077-1262

Phone

(317) 873-1000

Fax

(317) 873-0401

NPI assigned

Jan 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kevin L Anderson, D.C.

Title

President

Phone

(317) 873-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Anderson Chiropractic Doing business as

Locations

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1013194778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 W OAK ST",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771262",
            "telephone_number": "317-873-1000",
            "fax_number": "317-873-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 W OAK ST",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771262",
            "telephone_number": "317-873-1000",
            "fax_number": "317-873-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN L ANDERSON DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-873-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IN",
            "license": "51000104A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092170",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keeping Pace
• Lucinda A Keller, MD
• Douglas Kenneth Kelsey, M.D.
• Sarah Emily Kelsey, BCBA
• Lauren Kenning, PHARMD
• Norma Ruth Keywan, RN CMT
• Umara Khalid, MD
• Kids Source, Inc.
• Angela Nicole Kilgore, LCSW
• Alexis King

• Clinic/Center in Zionsville, IN
• Providers in Zionsville, IN by specialty
• Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.