Andersen Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

49216121202 Issued in UT

Legal business name

ANDERSEN CHIROPRACTIC, LLC

Practice address

1025 E 11400 S Ste 102
Sandy, UT 84094-6947

Phone

(801) 572-5696

Fax

(801) 938-9574

NPI assigned

Sep 4, 2007

Last updated

May 9, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ken Andersen, D.C.

Title

Chiropractor

Phone

(801) 569-8787

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Raymond Andersen, D.C.

  • Chiropractor
  • Sandy, UT
  • NPI 1760483986
  Medicare reassignment NPD

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525824000000",
    "number": "1376737247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 E 11400 S STE 102",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840946947",
            "telephone_number": "801-572-5696",
            "fax_number": "801-938-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 E 11400 S STE 102",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840946947",
            "telephone_number": "801-572-5696",
            "fax_number": "801-938-9574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9035 S 1300 E Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Sandy",
            "state": "UT",
            "postal_code": "840943131",
            "country_code": "US",
            "telephone_number": "801-572-5696",
            "fax_number": "801-572-5753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANDERSEN CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2018-05-09",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "801-569-8787",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "49216121202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie Lee Ampuero
• Abigail Anaya-Figueroa, BS IN PSYCHOLOGY
• Matthew Ancel
• Carolyn Anctil, MD
• Peter Anders, CRNA
• Allan L Andersen, MS
• Kenneth Raymond Andersen, D.C.
• Anderson Wellness Group LLC
• Anderson Wellness Group LLC
• Benjamin Luke Anderson, ACMHC

• Chiropractor in Sandy, UT
• Providers in Sandy, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.