Scott Kenneth Anderson, D.C.
Individual provider Active NPI Chiropractor · Fenton, MI
NPI 1265500599 · NPPES record last updated Nov 9, 2021
Key facts
- NPI
- 1265500599
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2301005414 (MI)
- Practice address
- 217 5TH St
Fenton, MI 48430-2771 - Phone
- (810) 750-2600
- Fax
- (810) 750-9186
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Painless Chiropractic PLLC
Practice addresses (Care Compare)
404 Rounds Dr
Fenton, MI 48430-1724
Phone (810) 208-0424
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070417000214 | MI | Practitioner - Chiropractic | 5193820363 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Painless Chiropractic, PLLC | Chiropractor | Current |
Accepting new patients |
Locations
404 Rounds Dr
Fenton, MI 48430
Phone (810) 208-0424
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301005414 | MI | Yes |
Addresses
Primary practice location
217 5TH St
Fenton, MI 48430-2771
Mailing address
217 5TH St
Fenton, MI 48430-2771
Phone (810) 569-0236
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950B512170 | Other | MI | BLUE CROSSBLUE SHIELD |
Other providers in Fenton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.