Individual provider Active NPI

Dana Warren Anderson, D.C.

  • Chiropractor
  • Flint, MI
National Provider Identifier
1558356675
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008894 Issued in MI
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
950B513420OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050708000786 MI Practitioner - Chiropractic 3870531841 Reassigns benefits to 1 organization

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
Anderson Hamo Chiropractic, PLCGroup PAC ID 2062458425, 2 clinicians

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

LicenseStateTypeSpecialty
2301008894MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Hamo Chiropractic, PLC Chiropractor CurrentSince May 9, 2005 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.

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.

Verify at the official NPI Registry.