Organization Active NPI

Anderson Chiropractic, PSC

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1386735751
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4679 Issued in KY
Legal business name
ANDERSON CHIROPRACTIC, PSC
Practice address
4311 Naomi Dr
Louisville, KY 40219-1601
Phone
(502) 962-7070
Fax
(502) 962-7333
NPI assigned
Sep 28, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Brian D Anderson, D.C.NPI 1295843480
Title
Owner
Phone
(502) 962-7070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

National Provider Directory

National Provider Directory

Locations

4311 Naomi Dr
Louisville, KY 40219
Phone (502) 962-7070

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4679 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

4311 Naomi Dr
Louisville, KY 40219-1601

Mailing address

4311 Naomi Dr
Louisville, KY 40219-1601
Phone (502) 962-7070

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
50008761MedicaidKY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386735751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 NAOMI DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402191601",
            "telephone_number": "502-962-7070",
            "fax_number": "502-962-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 NAOMI DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402191601",
            "telephone_number": "502-962-7070",
            "fax_number": "502-962-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON CHIROPRACTIC, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-962-7070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50008761",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.