Individual provider Active NPI

Anthony Hamilton Sanderson, D.C.

  • Chiropractor
  • Missoula, MT
National Provider Identifier
1154759934
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHI-CHI-LIC-2874 Issued in MT
Practice address
1934 Brooks St
Missoula, MT 59801-6644
Phone
(406) 531-6287
Fax
(406) 493-1109
NPI assigned
Oct 14, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHI-CHI-LIC-2874 MT Primary

Addresses

Primary practice location

1934 Brooks St
Missoula, MT 59801-6644

Mailing address

PO Box 759
Missoula, MT 59806-0759
Phone (406) 531-6287

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250310002964 MT Practitioner - Chiropractic 0042730780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1934 Brooks St
Missoula, MT 59801-6644
Phone (406) 531-6287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHI-CHI-LIC-2874MTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Grizzly Sports and Family Chiropractic PLLC Chiropractor CurrentSince Jan 22, 2025 Accepting new patients
Ground Works Physical Therapy. PLLC CurrentSince Mar 12, 2023 Accepting new patients

Locations

2409 Dearborn Ave
Ste I
Missoula, MT 59801
Phone (406) 240-9832

1934 Brooks St
Missoula, MT 59801
Phone (406) 531-6287

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1154759934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 759",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598060759",
            "telephone_number": "406-531-6287",
            "fax_number": "406-493-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 BROOKS ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016644",
            "telephone_number": "406-531-6287",
            "fax_number": "406-493-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "ANTHONY",
        "middle_name": "HAMILTON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-14",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "CHI-CHI-LIC-2874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.