Active NPI
Anderson Chiropractic, PSC
- Chiropractor
- Louisville, KY
National Provider Identifier
1386735751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4679
- 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.
- 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.
-
- Chiropractor
- Louisville, KY
- NPI 1295843480
National Provider Directory
National Provider DirectoryLocations
4311 Naomi Dr
Louisville, KY 40219
Phone (502) 962-7070
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4679 | KY | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50008761 | Medicaid | KY |
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.