Individual provider Active NPI

Joshua B Anderson, DC

  • Chiropractor
  • Eugene, OR
National Provider Identifier
1225388143
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5060 Issued in OR
Practice address
305 W 7TH Ave
Eugene, OR 97401-2510
Phone
(503) 504-3542
NPI assigned
Sep 18, 2012
Last updated
Sep 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5060 OR Primary

Addresses

Primary practice location

305 W 7TH Ave
Eugene, OR 97401-2510

Mailing address

4721 SW 45TH Ave
Portland, OR 97221-3620

Other practice location 1

1260 E Main St
Cottage Grove, OR 97424-2217
Phone (503) 504-3542

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130308000266 OR Practitioner - Chiropractic 0042465460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4721 SW 45TH Ave
Portland, OR 97221-3620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joshua B. Anderson, D.C.P.C. Chiropractor CurrentSince Aug 26, 2019 Accepting new patients
Joyce D. McClure, D.C., P.C. PastSince Mar 1, 2011 Accepting new patients

Locations

305 W 7th Ave
Eugene, OR 97401
Phone (541) 343-3477

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1225388143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 SW 45TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972213620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W 7TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012510",
            "telephone_number": "503-504-3542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1260 E Main St",
            "address_purpose": "LOCATION",
            "city": "Cottage Grove",
            "state": "OR",
            "postal_code": "974242217",
            "country_code": "US",
            "telephone_number": "503-504-3542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JOSHUA",
        "middle_name": "B",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-18",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.