Mary B Anderson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

14868 Issued in CA

Practice address

1609 Tucker LN
Encinitas, CA 92024-2925

Phone

(760) 753-5244

NPI assigned

Oct 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1295924694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 TUCKER LN",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242925",
            "telephone_number": "760-753-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 TUCKER LN",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242925",
            "telephone_number": "760-753-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MARY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "14868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Marie Andersen I
• Aubrey Anderson, ND
• Christen Marie Anderson, MD
• Lindsey Elizabeth Anderson, DO
• Luke Patrick Anderson, DPT, PT
• Ryan Christian Anderson, OT C
• Vivien Keil Anderson, PHD
• Andrea'S Midwifery Inc
• Steven R Andree, M.D.
• Andres Garcia

• Chiropractor in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.