Active NPI
Kevin D Anderson, DC
- Chiropractor
- Terre Haute, IN
National Provider Identifier
1487952933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08002805A
- Practice address
- 1549 Fort Harrison Rd
Terre Haute, IN 47804-1332 - Phone
- (812) 460-4700
- Fax
- (812) 460-4701
- NPI assigned
- Mar 8, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08002805A | IN | Primary |
| Chiropractor | 111N00000X | 5281 | KY |
Addresses
Primary practice location
1549 Fort Harrison Rd
Terre Haute, IN 47804-1332
Mailing address
1549 Fort Harrison Rd
Terre Haute, IN 47804-1332
Phone (812) 460-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, WI
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3814 Oakwood Hills Pkwy
Eau Claire, WI 54701-7757
Phone 715833877719
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08002805A | IN | MD | Chiropractor |
| 5281 | KY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tenold Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Jason W Luking D.C. PLC | Chiropractor | Past | Accepting new patients |
| Wisconsin Center for Integrative Health, SC | Chiropractor | Past | Accepting new patients |
| Meadowland Healing Arts PLLC | Chiropractor | Past | Accepting new patients |
Locations
3814 Oakwood Hills Pkwy
Eau Claire, WI 54701
Phone (715) 833-8777
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Eau Claire, WI
- NPI 1720197502
-
- Chiropractor
- Frankfort, KY
- NPI 1750434601
-
- Chiropractor
- Alexandria, KY
- NPI 1902033178
-
- Nurse Practitioner
- Eau Claire, WI
- NPI 1154838951
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418169600000",
"number": "1487952933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1549 FORT HARRISON RD",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478041332",
"telephone_number": "812-460-4700",
"fax_number": "812-460-4701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1549 FORT HARRISON RD",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478041332",
"telephone_number": "812-460-4700",
"fax_number": "812-460-4701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "KEVIN",
"middle_name": "D",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-08",
"last_updated": "2014-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08002805A",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "5281",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.