Anderson Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

A05981 Issued in IA

Legal business name

ANDERSON CHIROPRACTIC INC

Practice address

1395 Jordan St Ste D
North Liberty, IA 52317-4759

Phone

(319) 625-2225

Fax

(319) 625-2227

NPI assigned

Jul 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Susan Ann Anderson, D.C.NPI 1669696183

Title

President

Phone

(319) 625-2225

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Ann Anderson, DC

  • Chiropractor
  • North Liberty, IA
  • NPI 1669696183
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1295935401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 JORDAN ST STE D",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174759",
            "telephone_number": "319-625-2225",
            "fax_number": "319-625-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 JORDAN ST STE D",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174759",
            "telephone_number": "319-625-2225",
            "fax_number": "319-625-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-625-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0151472",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "58531",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aligned Wellness Chiropractic LLC
• Alis Aquilae L.L.C.
• American Homepatient, Inc.
• Miquel Katherine Anastasi-Melchert, LMHC
• Amy Andersen, MD
• Judith Anderson-Bruner, ARNP
• Emily Elizabeth Anderson-Torres, MD
• Rebecca T Anderson, PHARMD
• Susan Ann Anderson, DC
• Sadie Arens

• Chiropractor in North Liberty, IA
• Providers in North Liberty, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.

Verify at the official NPI Registry.