Jeffery R Anderson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

23623 Issued in CA

Practice address

3609 Oakdale Rd Ste 5
Modesto, CA 95357

Phone

(209) 551-8888

Fax

(209) 551-0412

NPI assigned

Feb 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jeff Anderson Chiropractic PC

  • Chiropractor
  • Modesto, CA
  • NPI 1225672918
  Medicare reassignment Authorized official
• Anjani Thakur, MD, Inc

  • Surgery Physician
  • Turlock, CA
  • NPI 1508877473
  NPD (past)
• Hill Center for Integrative Medicine Inc

  • Chiropractor
  • Modesto, CA
  • NPI 1568569192
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1205976859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 OAKDALE RD STE 5",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953570718",
            "telephone_number": "209-551-8888",
            "fax_number": "209-551-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 OAKDALE RD STE 5",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95357",
            "telephone_number": "209-551-8888",
            "fax_number": "209-551-0412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 Truxtun Ave",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933090600",
            "country_code": "US",
            "telephone_number": "661-322-6021",
            "fax_number": "661-322-9313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JEFFERY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "23623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE LIC NUMBER",
            "identifier": "23623",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gera Anderson
• Jaleia Anderson
• Jared Raymond Anderson, CCC-SLP
• Jeff Anderson
• Jeff L Anderson
• Jolene L. Anderson, O.T.
• Joshua McKee Anderson, M.D.
• Margaret Jean Anderson, MFT
• Robert Ralph Anderson, M.D.
• Robyn Ellen Anderson

• Chiropractor in Modesto, CA
• Providers in Modesto, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.