Active NPI
Jeffrey Todd Anderson, DC
- Chiropractor
- Hyannis, MA
National Provider Identifier
1023175379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1953
- Practice address
- 1 Lewis Bay Rd
Hyannis, MA 02601-5207 - Phone
- (508) 790-2888
- Fax
- (508) 790-1704
- NPI assigned
- Jan 3, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1953 | MA | Primary |
Addresses
Primary practice location
1 Lewis Bay Rd
Hyannis, MA 02601-5207
Mailing address
1 Lewis Bay Rd
Hyannis, MA 02601-5207
Phone (508) 790-2888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1953 | MA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023175379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 LEWIS BAY RD",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026015207",
"telephone_number": "508-790-2888",
"fax_number": "508-790-1704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LEWIS BAY RD",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026015207",
"telephone_number": "508-790-2888",
"fax_number": "508-790-1704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "JEFFREY",
"middle_name": "TODD",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "1953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hyannis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.