Organization Active NPI

Anderson Chiropractic Enterprises Inc

Doing business as Anderson Chiropractic

  • Chiropractor
  • Cincinnati, OH
National Provider Identifier
1366580094
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2618 Issued in OH
Legal business name
ANDERSON CHIROPRACTIC ENTERPRISES INC
Doing business as
Anderson Chiropractic
Practice address
4044 McLean Dr
Cincinnati, OH 45255-3323
Phone
(513) 752-5390
Fax
(513) 752-0299
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Mr. Gary Richard Vogel
Title
Co-Owner
Phone
(513) 752-5390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2618 OH Primary

Addresses

Primary practice location

4044 McLean Dr
Cincinnati, OH 45255-3323

Mailing address

4044 McLean Dr
Cincinnati, OH 45255-3323
Phone (513) 752-5390

Other identifiers 2

IdentifierTypeStateIssuer
2091856MedicaidOH
1074930-0001OtherOHBWC

Other names 1

  • Anderson Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091023000522 OH Part B Supplier - Clinic/Group Practice 5698709061 Receives reassigned benefits from 2 practitioners
Practice locations: Cincinnati, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1366580094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4044 MCLEAN DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553323",
            "telephone_number": "513-752-5390",
            "fax_number": "513-752-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4044 MCLEAN DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553323",
            "telephone_number": "513-752-5390",
            "fax_number": "513-752-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON CHIROPRACTIC ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "VOGEL",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "513-752-5390",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2091856",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "1074930-0001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Anderson Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.