Colton James Anderson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038013240 Issued in IL

Practice address

40W201 Wasco Rd Ste Ab
St Charles, IL 60175-8509

Phone

(630) 377-7788

Fax

(630) 377-7802

NPI assigned

Jul 6, 2018

Last updated

Jul 17, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Longevity Strength and Wellness Center LLC

  • Chiropractor
  • St Charles, IL
  • NPI 1992576359
  NPD Authorized official
• Apmstc LLC

  • Chiropractor
  • St Charles, IL
  • NPI 1093552192
  NPD

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1366938946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3381 W MAIN ST STE 1",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601751008",
            "telephone_number": "630-377-7788",
            "fax_number": "630-377-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40W201 WASCO RD STE AB",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601758509",
            "telephone_number": "630-377-7788",
            "fax_number": "630-377-7802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3381 W Main St Ste 1",
            "address_purpose": "LOCATION",
            "city": "St Charles",
            "state": "IL",
            "postal_code": "601751008",
            "country_code": "US",
            "telephone_number": "630-377-7788",
            "fax_number": "630-377-7802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "COLTON",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-06",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith K. Andersen, P.T., M.S.
• Susan Michelle Andersen, M.S., CF-SLP
• Ashley M Anderson, MS, RDN, LDN, CPT
• Barbara Ann Anderson, PT
• Christine M. Anderson, MS, ED, NCC, LCPC
• Deborah L Anderson, PHARM D., RPH
• Grace Elizabeth Anderson
• Ada Andrist, LCPC
• Andsar Inc. (Grimm's Medical Supplies)
• Andsar Inc. (Grimm's Medical Supplies)

• Chiropractor in St Charles, IL
• Providers in St Charles, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.