Joseph Mark Anderson, DC
Individual provider Active NPI Chiropractor · Olathe, KS
NPI 1508097916 · NPPES record last updated May 31, 2023
Key facts
- NPI
- 1508097916
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 0105282 (KS)
- Practice address
- 16041 S Bradley Dr
Olathe, KS 66062-3932 - Phone
- (913) 764-9393
- Fax
- (913) 764-9395
- NPI assigned
- Aug 3, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
16041 S Bradley Dr
Olathe, KS 66062-3932
Phone (913) 764-9393
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100421000628 | KS | Practitioner - Chiropractic | 4587791660 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0105282 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Family Chiropractic, PA Corp | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0105282 | KS | Yes |
Addresses
Primary practice location
16041 S Bradley Dr
Olathe, KS 66062-3932
Mailing address
16077 S Bradley Dr
Olathe, KS 66062-3932
Phone (913) 764-9393
Other practice location 1
15930S Mur Len Rd
Olathe, KS 66062-8301
Phone (913) 481-6997
Other practice location 2
16077 S. Bradley Drive
Olathe, KS 66062-8301
Phone (913) 764-9393
Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.