Active NPI
Dana Warren Anderson, D.C.
- Chiropractor
- Flint, MI
National Provider Identifier
1558356675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301008894
- Practice address
- 1174 W Hill Rd
Suite 2
Flint, MI 48507-4776 - Phone
- (810) 238-9066
- Fax
- (810) 238-9139
- NPI assigned
- Sep 14, 2005
- Reactivated
- Apr 13, 2006
- Last updated
- Dec 5, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301008894 | MI | Primary |
Addresses
Primary practice location
1174 W Hill Rd
Suite 2
Flint, MI 48507-4776
Mailing address
2201 E Hill Rd
Grand Blanc, MI 48439-5057
Phone (810) 238-9066
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950B513420 | Other | MI | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2201 E Hill Rd
Grand Blanc, MI 48439-5057
Phone (810) 771-7736
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301008894 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson Hamo Chiropractic, PLC | Chiropractor | Current | Accepting new patients |
Locations
1174 W Hill Rd
Ste 2
Flint, MI 48507
Phone (810) 238-9066
2201 E Hill Rd
Grand Blanc, MI 48439
Phone (810) 771-7736
Organizations & group practices 1
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.
-
- Chiropractor
- Flint, MI
- NPI 1245243419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575504000000",
"number": "1558356675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 E HILL RD",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484395057",
"telephone_number": "810-238-9066",
"fax_number": "810-238-9139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1174 W HILL RD",
"address_2": "SUITE 2",
"city": "FLINT",
"state": "MI",
"postal_code": "485074776",
"telephone_number": "810-238-9066",
"fax_number": "810-238-9139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "DANA",
"middle_name": "WARREN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-14",
"last_updated": "2019-12-05",
"deactivation_date": "2006-04-13",
"reactivation_date": "2006-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301008894",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "950B513420",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.