Individual provider Active NPI

Daniel Ernest Anderson, D.C.

  • Chiropractor
  • Bismarck, ND
National Provider Identifier
1578892303
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
849 Issued in ND
Practice address
3138 N 10TH St # 3a
Bismarck, ND 58503-0509
Phone
(701) 751-7071
NPI assigned
Dec 7, 2009
Last updated
Dec 5, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 849 ND Primary

Addresses

Primary practice location

3138 N 10TH St # 3a
Bismarck, ND 58503-0509

Mailing address

4903 Pumice Loop
Bismarck, ND 58503-6158
Phone (701) 720-8903

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100127000139 ND Practitioner - Chiropractic 9234271438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3138 N 10TH St
3A
Bismarck, ND 58503-1470
Phone (701) 751-7071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
849NDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
R&R Chiropractic PC Chiropractor CurrentSince Jan 10, 2012 Accepting new patients
Chiropractic Health Associates PLLC Chiropractor PastSince Jan 1, 2005 Accepting new patients

Locations

3138 N 10th St
#3A
Bismarck, ND 58503
Phone (701) 751-7071

416 Kundert St
Turtle Lake, ND 58575
Phone (701) 448-2331

Organizations & group practices 2

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": "1260144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1578892303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4903 PUMICE LOOP",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585036158",
            "telephone_number": "701-720-8903",
            "fax_number": "701-221-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3138 N 10TH ST # 3A",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030509",
            "telephone_number": "701-751-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DANIEL",
        "middle_name": "ERNEST",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-07",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.