Gunnar J Anderson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5047 Issued in CO

Practice address

3926 Sandalwood LN
Pueblo, CO 81005-2586

Phone

(719) 566-1550

Fax

(719) 565-2661

NPI assigned

Sep 21, 2006

Last updated

May 9, 2012By 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 CO

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Anderson Chiropractic LLC

  • Chiropractor
  • Pueblo, CO
  • NPI 1417226044
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336521600000",
    "number": "1528166402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3926 SANDALWOOD LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052586",
            "telephone_number": "719-566-1550",
            "fax_number": "719-565-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3926 SANDALWOOD LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052586",
            "telephone_number": "719-566-1550",
            "fax_number": "719-565-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "GUNNAR",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2012-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01008555",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Anaya, CAS
• Jessica Marie Anaya, FNP-BC, AGACNP-BC
• Lawrence C Anaya, M.D.
• Anderson Chiropractic LLC
• Alexandria Taylor Anderson
• James Richard Anderson, PA-C
• Julie Anderson, LCSW
• Kaleigh Margaret Anderson, RDN
• Kelley Anderson, MS, BCBA
• Larissa Leigh Anderson

• Chiropractor in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.