Corey Anderson DC Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1246 Issued in NE

Legal business name

COREY ANDERSON DC INC

Practice address

223 E 14TH St
Suite 50
Hastings, NE 68901-3200

Phone

(402) 462-9999

Fax

(402) 462-9545

NPI assigned

Jan 4, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Corey Robert Anderson, D.C,NPI 1700805256

Title

Owner/Doctor of Chiropractic

Phone

(402) 462-9999

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Corey Robert Anderson, D.C.

  • Chiropractor
  • Hastings, NE
  • NPI 1700805256
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1609170729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 E 14TH ST",
            "address_2": "SUITE 50",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689013200",
            "telephone_number": "402-462-9999",
            "fax_number": "402-462-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 E 14TH ST",
            "address_2": "SUITE 50",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689013200",
            "telephone_number": "402-462-9999",
            "fax_number": "402-462-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREY ANDERSON DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "402-462-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C,"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47084081600",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "99559",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "268514",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "350055386",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Hastings, NE
• Providers in Hastings, NE by specialty
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.