Individual provider Active NPI

Taylor Alexis Blackford Anderson, DC

  • Chiropractor
  • Albuquerque, NM
National Provider Identifier
1346993276
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC2281 Issued in NM
Practice address
3520 Pan American Fwy NE Ste A1
Albuquerque, NM 87107-4703
Phone
(505) 308-8885
NPI assigned
Jan 31, 2022
Last updated
Jan 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC2281 NM Primary

Addresses

Primary practice location

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

Mailing address

3520 Pan American Fwy NE Ste A1
Albuquerque, NM 87107-4703
Phone (505) 308-8885

Other names 1

  • Taylor Alexis Blackford Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220302002359 NM Practitioner - Chiropractic 1254720774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anderson Chiropractic PCGroup PAC ID 1759820574, 2 clinicians

Practice addresses (Care Compare)

4127 Montgomery Blvd NE
Albuquerque, NM 87109-1102
Phone (505) 308-8885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC2281NMMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Chiropractic, PC Chiropractor CurrentSince Sep 22, 2024 Accepting new patients

Locations

3520 Pan American Fwy NE
Ste A1
Albuquerque, NM 87107
Phone (505) 308-8885

4127 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 308-8885

1942 Old US 66
Ste B
Edgewood, NM 87015
Phone (505) 437-5085

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": "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.