Anderson Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5047 Issued in CO

Legal business name

ANDERSON CHIROPRACTIC LLC

Practice address

3926 Sandalwood LN
Pueblo, CO 81005-2586

Phone

(719) 566-1550

Fax

(719) 565-2661

NPI assigned

Dec 28, 2011

Last updated

May 9, 2012By 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

Dr. Gunnar AndersonNPI 1528166402

Title

Owner

Phone

(719) 566-1550

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

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.

• Gunnar J Anderson, DC

  • Chiropractor
  • Pueblo, CO
  • NPI 1528166402
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1417226044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3926 SANDALWOOD LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052586",
            "telephone_number": "719-566-1550",
            "fax_number": "719-565-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3926 SANDALWOOD LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052586",
            "telephone_number": "719-566-1550",
            "fax_number": "719-565-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-28",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "GUNNAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-566-1550",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Shandy, Speech-Language Pathologist, LLC (The Shandy Clinic)
• Amy Shandy, Speech-Language Pathologist, LLC (The Shandy Clinic)
• Christopher Anaya, CAS
• Jessica Marie Anaya, FNP-BC, AGACNP-BC
• Lawrence C Anaya, M.D.
• Alexandria Taylor Anderson
• Gunnar J Anderson, DC
• James Richard Anderson, PA-C
• Julie Anderson, LCSW
• Kaleigh Margaret Anderson, RDN

• Chiropractor in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.