J Spencer Andersen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5110666-1202 Issued in UT

Practice address

676 S Bluff St
#200
St George, UT 84770

Phone

(435) 674-7515

Fax

(435) 674-7565

NPI assigned

Jul 28, 2006

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spencer Andersen PCGroup PAC ID 4284731886, 2 clinicians

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.

• Spencer Andersen PC

  • Chiropractor
  • St George, UT
  • NPI 1194943951
  Medicare reassignment Care Compare group NPD Authorized official
• American Medical Rehab

  • Chiropractor
  • St George, UT
  • NPI 1497886154
  Authorized official Same address or phone
• Telios PC

  • Chiropractor
  • St George, UT
  • NPI 1730563867
  Authorized official Same address or phone
• Active Life Chiropractic Center, Inc.

  • Chiropractor
  • St George, UT
  • NPI 1881839835
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497769053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S INDIAN HILLS DR",
            "address_2": "#48",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "84770",
            "telephone_number": "435-229-8239",
            "fax_number": "435-674-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 S BLUFF ST",
            "address_2": "#200",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "84770",
            "telephone_number": "435-674-7515",
            "fax_number": "435-674-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "J",
        "middle_name": "SPENCER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "5110666-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Forsyth Andelin, MD
• Alivia Andersen
• Barbara Andersen
• Chad Andersen, NP
• Deanna Barbara Andersen
• James Hartman Andersen, DC
• Naomi Andersen
• Nikki Andersen
• Nisha Denae Andersen, MSN, APRN, FNP-C
• Perry Jay Andersen

• Chiropractor in St George, UT
• Providers in St George, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.