Individual provider Active NPI

Chad Anonson, D.C.

  • Chiropractor
  • Fort Collins, CO
National Provider Identifier
1316278849
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6464 Issued in CO
Practice address
1121 W Prospect Rd
Suite B
Fort Collins, CO 80526-5623
Phone
(970) 377-0918
Fax
(970) 221-2437
NPI assigned
Jan 22, 2010
Last updated
May 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6464 CO Primary

Addresses

Primary practice location

1121 W Prospect Rd
Suite B
Fort Collins, CO 80526-5623

Mailing address

1121 W Prospect Rd
Suite B
Fort Collins, CO 80526-5623
Phone (970) 377-0918

Other identifiers 2

IdentifierTypeStateIssuer
COA109097OtherCOMEDICARE PTAN
COA109098OtherCOMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120925000594 CO Practitioner - Chiropractic 0648429266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1121 W Prospect Rd B
Fort Collins, CO 80526-5623
Phone (970) 377-0918

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6464COMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Essential Motion Chiropractic Chiropractor CurrentSince Jul 10, 2012 Accepting new patients

Locations

1121 W Prospect Rd
#B
Fort Collins, CO 80526
Phone (970) 377-0918

Organizations & group practices 1

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": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430870400000",
    "number": "1316278849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 W PROSPECT RD",
            "address_2": "SUITE B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265623",
            "telephone_number": "970-377-0918",
            "fax_number": "970-221-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 W PROSPECT RD",
            "address_2": "SUITE B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265623",
            "telephone_number": "970-377-0918",
            "fax_number": "970-221-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANONSON",
        "first_name": "CHAD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-22",
        "last_updated": "2015-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "COA109097",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "COA109098",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.