Jay Doyle Anderson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

942708911202 Issued in UT

Practice address

642 Kirby LN Ste 103
Spanish Fork, UT 84660-5753

Phone

(801) 798-6558

Fax

(801) 798-3690

NPI assigned

Jul 14, 2005

Reactivated

Apr 4, 2006

Last updated

Dec 2, 2022By 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

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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 Center Inc.

  • Chiropractor
  • Spanish Fork, UT
  • NPI 1295936565
  Medicare reassignment NPD Authorized official
• Anderson Accident and Injury Clinic, LLC

  • Chiropractor
  • Spanish Fork, UT
  • NPI 1104712512
  NPD Authorized official
• Beck Spinal Care & Rehab

  • Chiropractor
  • Spanish Fork, UT
  • NPI 1023358868
  NPD (past)

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1558360362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 KIRBY LN STE 103",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846605753",
            "telephone_number": "801-798-6558",
            "fax_number": "801-798-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 KIRBY LN STE 103",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846605753",
            "telephone_number": "801-798-6558",
            "fax_number": "801-798-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JAY",
        "middle_name": "DOYLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "942708911202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abbey Andersen, MAT, LAT, ATC
• Anderson Accident and Injury Clinic, LLC
• Anderson Chiropractic Center Inc.
• Chandra Anderson
• George Allen Anderson, LMT
• Morgan Andrews
• Frank J Archer, MD
• Brissa Natalia Arias, CSW
• Ariel's Childcare, LLC (Lollipops)
• Kaleb Ashworth

• Chiropractor in Spanish Fork, UT
• Providers in Spanish Fork, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.