Russell D Anderson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3418 Issued in OK

Practice address

128 North Oakwood Road
Enid, OK 73703-4946

Phone

(580) 234-2700

Fax

(580) 234-3338

NPI assigned

May 1, 2007

Sex

Male

Sole proprietor

Yes

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 OK

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

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 and National Provider Directory roles.

• Anderson Chiropractic PC

  • Chiropractor
  • Enid, OK
  • NPI 1013089523
  Medicare reassignment NPD Authorized official
• R a Chiropractic Services Inc

  • Chiropractor
  • Enid, OK
  • NPI 1376811091
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609097260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 NORTH OAKWOOD ROAD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737034946",
            "telephone_number": "580-234-2700",
            "fax_number": "580-234-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 NORTH OAKWOOD ROAD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737034946",
            "telephone_number": "580-234-2700",
            "fax_number": "580-234-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "RUSSELL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anderson Chiropractic PC
• Christopher Michael Anderson
• Jeffrey D. Anderson, LPC
• Linda Sue Anderson, LADC, LPC
• Ronald Carroll Anderson, LPC IN CANDIDACY
• Sherri L. Anderson, R.P.T.
• Tiffanie Michelle Anderson, APRN, WHNP-BC
• Harold Don Andrews, DPH
• Kathy Elaine Andrews, LPC
• Mason B Andrews, MD

• All providers in Enid, OK
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.