Individual provider Active NPI

Thomas Dean Anderson, D.C.

  • Chiropractor
  • Greenwood Village, CO
National Provider Identifier
1265551576
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5387 Issued in CO
Practice address
8400 E Prentice Ave
Suite 700
Greenwood Village, CO 80111-2912
Phone
(720) 316-2202
Fax
(303) 840-7073
NPI assigned
Mar 28, 2007
Last updated
Oct 11, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5387 CO Primary

Addresses

Primary practice location

8400 E Prentice Ave
Suite 700
Greenwood Village, CO 80111-2912

Mailing address

8400 E Prentice Ave
Suite 700
Greenwood Village, CO 80111-2912
Phone (720) 316-2202

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041221000366 CO Practitioner - Chiropractic 8729977830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 2

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1265551576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 E PRENTICE AVE",
            "address_2": "SUITE 700",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112912",
            "telephone_number": "720-316-2202",
            "fax_number": "303-840-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 E PRENTICE AVE",
            "address_2": "SUITE 700",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112912",
            "telephone_number": "720-316-2202",
            "fax_number": "303-840-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "THOMAS",
        "middle_name": "DEAN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.

Verify at the official NPI Registry.