Jory Lynn Anderson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034054 Issued in WA

Practice address

823 E Lincoln Ave
Sunnyside, WA 98944-2347

Phone

(509) 839-5555

Fax

(509) 839-9875

NPI assigned

Jul 17, 2007

Last updated

Jun 25, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sunnyside Chiropractic Centre P S

  • Chiropractor
  • Sunnyside, WA
  • NPI 1982866604
  Medicare reassignment NPD Authorized official
• Yakima Chiropractic Centres, Inc. P.SD.

  • Chiropractor
  • Yakima, WA
  • NPI 1144436148
  NPD (past)

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1487853602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 E LINCOLN AVE",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989442347",
            "telephone_number": "509-839-5555",
            "fax_number": "509-839-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 E LINCOLN AVE",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989442347",
            "telephone_number": "509-839-5555",
            "fax_number": "509-839-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JORY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "8858539",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Colleen Affholter, LMP
• Amier Ahmad, MD
• John W Allen, D.O.
• Elizabeth Ambrocio
• Esmeralda Chavez Anderson, ARNP
• Brenda J Anguiano - Alvarez
• Valentin Antoci, MD
• Amelia Noemi Arreola, MC
• Dave S Atteberry, MD
• B Martin and G Martin PLLC (Sweet Dreams Dental)

• Chiropractor in Sunnyside, WA
• Providers in Sunnyside, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.