Organization Active NPI

Anderson Chiropractic, Inc

Doing business as Hodges Chiropractic and Sports Medecine

  • Chiropractor
  • Brookings, OR
National Provider Identifier
1427410422
Registry record updated May 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5716 Issued in OR
Legal business name
ANDERSON CHIROPRACTIC, INC
Doing business as
Hodges Chiropractic and Sports Medecine
Practice address
411 Mill Beach Rd Ste a
Brookings, OR 97415-9690
Phone
(541) 469-2276
NPI assigned
Mar 28, 2016
Last updated
May 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2016

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

Authorized official

Name
Dr. Chad James Anderson, D.C.NPI 1902214992
Title
President
Phone
(541) 469-2276

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5716 OR Primary

Addresses

Primary practice location

411 Mill Beach Rd Ste a
Brookings, OR 97415-9690

Mailing address

PO Box 7967
Brookings, OR 97415-0374
Phone (541) 469-2276

Other names 1

  • Hodges Chiropractic and Sports Medecine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160706001239 OR Part B Supplier - Clinic/Group Practice 6608168067 Receives reassigned benefits from 1 practitioner
Practice locations: Brookings, OR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463702400000",
    "number": "1427410422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7967",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974150374",
            "telephone_number": "541-469-2276",
            "fax_number": "541-469-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MILL BEACH RD STE A",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974159690",
            "telephone_number": "541-469-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-28",
        "last_updated": "2016-05-20",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-469-2276",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hodges Chiropractic and Sports Medecine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brookings, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.