Active NPI
Anderson Hamo Chiropractic, PLC
- Chiropractor
- Flint, MI
National Provider Identifier
1245243419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 008899
- Legal business name
- ANDERSON HAMO CHIROPRACTIC, PLC
- Practice address
- 1174 W Hill Rd
Suite 2
Flint, MI 48507-4776 - Phone
- (810) 238-9066
- Fax
- (810) 238-9139
- NPI assigned
- Aug 15, 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
- Dr. Tera Hamo Anderson, D.C.
- Title
- Member
- Phone
- (810) 238-9066
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 008899 | MI | Primary |
| Chiropractor | 111N00000X | 008894 | MI | |
| Nutrition Chiropractor | 111NN1001X | 008894 | MI | |
| Sports Physician Chiropractor | 111NS0005X | 008899 | MI |
Addresses
Primary practice location
1174 W Hill Rd
Suite 2
Flint, MI 48507-4776
Mailing address
1174 W Hill Rd
Suite 2
Flint, MI 48507-4776
Phone (810) 238-9066
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4775830 | Medicaid | MI | |
| 4775821 | Medicaid | MI | |
| 950B513500 | Other | MI | BCBSM GROUP PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1174 W Hill Rd
Ste 2
Flint, MI 48507
Phone (810) 238-9066
2201 E Hill Rd
Grand Blanc, MI 48439
Phone (810) 771-7736
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Flint, MI
- NPI 1801881925
-
- Chiropractor
- Flint, MI
- NPI 1558356675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1245243419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1174 W HILL RD",
"address_2": "SUITE 2",
"city": "FLINT",
"state": "MI",
"postal_code": "485074776",
"telephone_number": "810-238-9066",
"fax_number": "810-238-9139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1174 W HILL RD",
"address_2": "SUITE 2",
"city": "FLINT",
"state": "MI",
"postal_code": "485074776",
"telephone_number": "810-238-9066",
"fax_number": "810-238-9139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDERSON HAMO CHIROPRACTIC, PLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-15",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "TERA",
"authorized_official_middle_name": "HAMO",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "810-238-9066",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MI",
"license": "008899",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MI",
"license": "008894",
"primary": false
},
{
"code": "111NN1001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Nutrition",
"state": "MI",
"license": "008894",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": "MI",
"license": "008899",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4775830",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4775821",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM GROUP PIN",
"identifier": "950B513500",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.