Organization Active NPI

North Anderson Chiropractic, Inc.

  • Chiropractor
  • Anderson, IN
National Provider Identifier
1194846931
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001914A Issued in IN
Legal business name
NORTH ANDERSON CHIROPRACTIC, INC.
Practice address
1817 N Madison Ave
Anderson, IN 46011-2145
Phone
(765) 642-1100
Fax
(765) 642-2171
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Douglas Allen Scott, D.C.NPI 1376602599
Title
President
Phone
(765) 642-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08001914A IN Primary

Addresses

Primary practice location

1817 N Madison Ave
Anderson, IN 46011-2145

Mailing address

1817 N Madison Ave
Anderson, IN 46011-2145
Phone (765) 642-1100

Other names 1

  • North Anderson Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250515002181 IN Part B Supplier - Clinic/Group Practice 7618990722 Receives reassigned benefits from 1 practitioner
Practice locations: Anderson, IN

National Provider Directory

National Provider Directory

Locations

420 S Scatterfield Rd
Ste 2
Anderson, IN 46012
Phone (765) 641-7700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194846931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 N MADISON AVE",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460112145",
            "telephone_number": "765-642-1100",
            "fax_number": "765-642-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 N MADISON AVE",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460112145",
            "telephone_number": "765-642-1100",
            "fax_number": "765-642-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ANDERSON CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-642-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001914A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Anderson Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.