Active NPI
Anderson Chiropractic PC
- Chiropractor
- Broadalbin, NY
National Provider Identifier
1174699896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X007617
- Legal business name
- ANDERSON CHIROPRACTIC PC
- Practice address
- 36 West Main St
Broadalbin, NY 12025 - Phone
- (518) 883-3877
- Fax
- (518) 883-8178
- NPI assigned
- Nov 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Craig W Anderson, DC
- Title
- Doctor Owner
- Phone
- (518) 883-3877
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X007617 | NY | Primary |
Addresses
Primary practice location
36 West Main St
Broadalbin, NY 12025
Mailing address
PO Box 908
36 West Main St
Broadalbin, NY 12025
Phone (518) 883-3877
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 98L152 | Other | NY | MVP |
| X66372 | Other | NY | EMPIRE BC |
| 10038278 | Other | NY | CDPHP |
| 930862 | Other | NY | EMPIRE PLAN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1174699896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 908",
"address_2": "36 WEST MAIN ST",
"city": "BROADALBIN",
"state": "NY",
"postal_code": "12025",
"telephone_number": "518-883-3877",
"fax_number": "518-883-8178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 WEST MAIN ST",
"city": "BROADALBIN",
"state": "NY",
"postal_code": "12025",
"telephone_number": "518-883-3877",
"fax_number": "518-883-8178"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDERSON CHIROPRACTIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "DOCTOR OWNER",
"authorized_official_telephone_number": "518-883-3877",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NY",
"license": "X007617",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "98L152",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC",
"identifier": "X66372",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10038278",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE PLAN",
"identifier": "930862",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Broadalbin, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.