Michael Alan Anderson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

602 Issued in MT

Practice address

3031 S Russell St
Ste 2
Missoula, MT 59801-8540

Phone

(406) 721-9996

Fax

(406) 327-6702

NPI assigned

Jan 10, 2007

Last updated

Dec 18, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Anderson Chiropractic PC

  • Clinic/Center
  • Missoula, MT
  • NPI 1285814723
  Authorized official Same address or phone

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197936000000",
    "number": "1134278682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 S RUSSELL ST",
            "address_2": "STE 2",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018540",
            "telephone_number": "406-721-9996",
            "fax_number": "406-327-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 S RUSSELL ST",
            "address_2": "STE 2",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018540",
            "telephone_number": "406-721-9996",
            "fax_number": "406-327-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "602",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MT",
            "license": "602",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MT",
            "identifier": "40150",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kade Jesse Anderson, MA, LCPC
• Kayleigh Anderson, APRN
• Linda Anderson, LMT
• Matthew J Anderson, FNP
• Meg Anne Janet Anderson, LCSW
• Molly Lenhart Anderson, PA-C
• Rebecca G Anderson, MD
• Susan J Anderson, D.C.
• Tracee Lyn Anderson, LCSW
• Andrea M. Ellestad, LLC

• Chiropractor in Missoula, MT
• Providers in Missoula, MT by specialty
• Chiropractor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.