Justin Michael Anderson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1675 Issued in ID

Practice address

6744 N Glenwood St
Boise, ID 83714-1926

Phone

(712) 899-8984

NPI assigned

Apr 7, 2016

Last updated

Feb 7, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

Locations

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.

• Optimal Spine & Posture

  • Rehabilitation Chiropractor
  • Boise, ID
  • NPI 1366039281
  Authorized official Same address or phone
• Trueform Health Solutions

  dba TrueForm Corrective Chiropractic

  • Chiropractor
  • Garden City, ID
  • NPI 1134968217
  NPD

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612656000000",
    "number": "1245694041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6744 N GLENWOOD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837141926",
            "telephone_number": "712-899-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6744 N GLENWOOD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837141926",
            "telephone_number": "712-899-8984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 E Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Eagle",
            "state": "ID",
            "postal_code": "836166020",
            "country_code": "US",
            "telephone_number": "208-939-2502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JUSTIN",
        "middle_name": "MICHAEL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-07",
        "last_updated": "2021-02-07",
        "certification_date": "2021-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1675",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "ID",
            "license": "CHIA-1675",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaiden Anderson
• Jennifer S Anderson, MD
• Jessica Anderson, RN
• Jessica L Anderson, RN
• Jill Anderson, APRN, MSN, CCNS
• Katherine Q Anderson, NP
• Kathryn Anne Anderson, LCSW
• Kelly Anderson
• Kendra Vawn Anderson
• Kerry W Anderson, DPM

• Chiropractor in Boise, ID
• Providers in Boise, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.