Anderson Family Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104194 Issued in KS

Legal business name

ANDERSON FAMILY CHIROPRACTIC, LLC

Practice address

12510 W 62ND Ter
Suite 101
Shawnee, KS 66216-1802

Phone

(913) 962-2244

NPI assigned

Dec 18, 2012

Organization subpart

No

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

Authorized official

Name

Douglas A. Anderson, D.C.NPI 1699788307

Title

President

Phone

(913) 962-2244

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas A Anderson, DC

  • Chiropractor
  • Shawnee, KS
  • NPI 1699788307
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1528304516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12510 W 62ND TER",
            "address_2": "SUITE 101",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662161802",
            "telephone_number": "913-962-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12510 W 62ND TER",
            "address_2": "SUITE 101",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662161802",
            "telephone_number": "913-962-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-962-2244",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0104194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arieanna Alvarado
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• Seema Amin, O.DO
• Anchor Dental & Implants, LLC
• Douglas A Anderson, DC
• Robert M. Anderson, D.C.
• Citlaly Andrade-Chaparro
• Evan James Andrews, DDS
• Anew Health LLC

• All providers in Shawnee, KS
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.