Active NPI
Anthony Hamilton Sanderson, D.C.
- Chiropractor
- Missoula, MT
National Provider Identifier
1154759934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHI-CHI-LIC-2874
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| CHI-CHI-LIC-2874 | MT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grizzly Sports and Family Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
| Ground Works Physical Therapy. PLLC | Current | 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.
-
dba Grizzly Chiropractic
- Chiropractor
- Missoula, MT
- NPI 1649607565
-
- Physical Therapist
- Missoula, MT
- NPI 1922565654
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.