Taylor Alexis Blackford Anderson, DC

Key facts

NPI

1346993276

Entity type

Individual (NPI type 1)

Primary specialty

Chiropractor 111N00000X

License

DC2281 (NM)

Practice address

3520 Pan American Fwy NE Ste A1
Albuquerque, NM 87107-4703

Phone

(505) 308-8885

NPI assigned

Jan 31, 2022

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Anderson Chiropractic, PC Chiropractor · Albuquerque, NM · NPI 1104684976
  Medicare reassignment Care Compare group NPD Authorized official CHIROPRACTOR · NM

Medicare Care Compare profile

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anderson Chiropractic PC (2 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NM

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other names

• Taylor Alexis Blackford Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 31, 2022.

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1346993276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 PAN AMERICAN FWY NE STE A1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074703",
            "telephone_number": "505-308-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 PAN AMERICAN FWY NE STE A1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074703",
            "telephone_number": "505-308-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "TAYLOR",
        "middle_name": "ALEXIS BLACKFORD",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "DC2281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "BLACKFORD",
            "middle_name": "ALEXIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

• Sarah Lynn Anderson, ACNPC-AG
• Shannon Sue Anderson, PA-C
• Shirley Ann Anderson
• Steve Philip Anderson, DDS
• Stewart Joseph Anderson, D.M.D.
• Teresa Anderson, MD
• Teresa J Anderson, RD LD CDE
• Thomas Michael Anderson, MD, PHD
• Travis Ian Anderson, DC
• David Alejandro Andrade Silva, M.D.

All providers in Albuquerque, NM · Chiropractor in New Mexico