Mark James Anderson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3779 Issued in WI

Practice address

216 West Main St
Hortonville, WI 54944

Phone

(920) 779-4554

Fax

(920) 779-0444

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Chiropractors IncGroup PAC ID 6800785056, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Family Chiropractors Inc

  • Chiropractor
  • Hortonville, WI
  • NPI 1043321912
  Medicare reassignment Care Compare group NPD
• Robert David Sell, DC

  • Chiropractor
  • Hortonville, WI
  • NPI 1033219415
  Medicare reassignment
• Sell Chiropractic

  • Chiropractor
  • Manawa, WI
  • NPI 1104937077
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1124128509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "HORTONVILLE",
            "state": "WI",
            "postal_code": "54944",
            "telephone_number": "920-779-4554",
            "fax_number": "920-779-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 WEST MAIN ST",
            "city": "HORTONVILLE",
            "state": "WI",
            "postal_code": "54944",
            "telephone_number": "920-779-4554",
            "fax_number": "920-779-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MARK",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38936900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Elizabeth Adickes
• Andrea Archambo, BSN, RN
• Brothers in Bond, LLC
• Andrew Budi, D.D.S.
• Cynthia Chitwood, RN
• Choice Physical Therapy and Wellness LLC

• Chiropractor in Hortonville, WI
• Providers in Hortonville, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.