Individual provider Active NPI

Chad Nickolas Anderson, DC

  • Chiropractor
  • Holly Springs, NC
National Provider Identifier
1033354246
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3906 Issued in NC
Practice address
131 W Holly Springs Road
Holly Springs, NC 27540-7083
Phone
(919) 552-0751
Fax
(919) 552-0891
NPI assigned
Dec 3, 2008
Last updated
Mar 14, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3906 NC Primary

Addresses

Primary practice location

131 W Holly Springs Road
Holly Springs, NC 27540-7083

Mailing address

PO Box 848
Holly Springs, NC 27540-0848
Phone (919) 552-0751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090708000810 NC Practitioner - Chiropractic 1658423488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

131 W Holly Springs Rd
Holly Springs, NC 27540-6014
Phone (919) 552-0751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Chiropractic, PLLC Chiropractor CurrentSince Jun 14, 2010 Accepting new patients
Miller Chiropractic of Rocky Mount, PC Chiropractor PastSince Oct 20, 2008 Accepting new patients

Locations

131 West Holly Springs Rd
Holly Springs, NC 27540
Phone (919) 552-0751

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1033354246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275400848",
            "telephone_number": "919-552-0751",
            "fax_number": "919-552-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W HOLLY SPRINGS ROAD",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275407083",
            "telephone_number": "919-552-0751",
            "fax_number": "919-552-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CHAD",
        "middle_name": "NICKOLAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-03",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.