Andersen Family Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

338996-1202 Issued in UT

Legal business name

ANDERSEN FAMILY CHIROPRACTIC PC

Practice address

380 E Main St
Suite E
Lehi, UT 84043-2228

Phone

(801) 768-2939

Fax

(801) 768-2955

NPI assigned

Feb 24, 2009

Last updated

Feb 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ronald D Andersen, DCNPI 1841356235

Title

Owner

Phone

(801) 768-2939

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald D. Andersen, DC

  • Chiropractor
  • Lehi, UT
  • NPI 1841356235
  Medicare reassignment Authorized official
• Brett James Haderlie, D.C.

  • Chiropractor
  • Lehi, UT
  • NPI 1699931774
  NPD
• Michael Scott Clark, DC

  • Chiropractor
  • Lehi, UT
  • NPI 1710059035
  NPD (past)

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1205076767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 E MAIN ST",
            "address_2": "SUITE E",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432228",
            "telephone_number": "801-768-2939",
            "fax_number": "801-768-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 E MAIN ST",
            "address_2": "SUITE E",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432228",
            "telephone_number": "801-768-2939",
            "fax_number": "801-768-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSEN FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-768-2939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "338996-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Janell Andelin, PHARMD
• Jessica Shaw Andersen, LPC
• Ronald D. Andersen, DC
• Carolyn Marion Anderson-Hansen, PA
• Aaron S Anderson, M.D.
• Ambree Anderson, TRT

• Chiropractor in Lehi, UT
• Providers in Lehi, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.