Alexander Anderson, D.C.
Individual provider Active NPI Chiropractor · Omaha, NE
NPI 1104223486 · NPPES record last updated Aug 6, 2018
Key facts
- NPI
- 1104223486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1825 (NE)
- Practice address
- 4269 S 144TH St
Omaha, NE 68137 - Phone
- (402) 650-2726
- NPI assigned
- Dec 2, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1825 | NE | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Health Chiropractic and Acupuncture | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1825 | NE | Yes |
Addresses
Primary practice location
4269 S 144TH St
Omaha, NE 68137
Mailing address
4269 S 144TH St
Omaha, NE 68137-1053
Phone (402) 650-2726
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.