Organization Active NPI

Anderson Integrative Health Center Inc

  • General Practice Physician
  • Anderson, IN
National Provider Identifier
1134460629
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ANDERSON INTEGRATIVE HEALTH CENTER INC
Practice address
1541 S Scatterfield Rd
Ste a
Anderson, IN 46016-5784
Phone
(765) 649-1991
Fax
(765) 649-3383
NPI assigned
Mar 7, 2013
Last updated
Mar 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Authorized official

Name
Keith A Berger, DC
Title
Owner
Phone
(765) 649-1991

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X IN
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X IN Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X IN

Addresses

Primary practice location

1541 S Scatterfield Rd
Ste a
Anderson, IN 46016-5784

Mailing address

1541 S Scatterfield Rd
Ste a
Anderson, IN 46016-5784
Phone (765) 649-1991

National Provider Directory

National Provider Directory

Locations

1541 S Scatterfield Rd
Ste A
Anderson, IN 46016
Phone (765) 274-0011

NPI Registry JSON

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1134460629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 S SCATTERFIELD RD",
            "address_2": "STE A",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460165784",
            "telephone_number": "765-649-1991",
            "fax_number": "765-649-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 S SCATTERFIELD RD",
            "address_2": "STE A",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460165784",
            "telephone_number": "765-649-1991",
            "fax_number": "765-649-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON INTEGRATIVE HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-649-1991",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "IN",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.