Anderson Chiropractic, PC
Organization Active NPI Chiropractor · Albuquerque, NM
NPI 1609533249 · NPPES record last updated Jul 29, 2024
Key facts
- NPI
- 1609533249
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- ANDERSON CHIROPRACTIC, PC
- Practice address
- 4127 Montgomery Blvd NE
Albuquerque, NM 87109-1102 - Phone
- (505) 308-8885
- Fax
- (505) 308-8886
- NPI assigned
- Nov 18, 2021
- Organization subpart
- No
Authorized official
- Name
- Taylor Alexis Blackford Anderson, DC
- Title
- Owner/Chiropractor
- Phone
- (505) 308-8885
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 1
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240826000159 | NM | Part B Supplier - Clinic/Group Practice | 1759820574 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Albuquerque, NM; Edgewood, NM |
National Provider Directory
- Tax ID family
- Anderson Chiropractic PC
Locations
1942 Old US 66
Ste B
Edgewood, NM 87015
Phone (505) 437-5085
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
4127 Montgomery Blvd NE
Albuquerque, NM 87109-1102
Mailing address
4127 Montgomery Blvd NE
Albuquerque, NM 87109-1102
Phone (505) 308-8885
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164186052 | Other | NM | NPPES |
Other names
- Anderson Family Chiropractic
- Anderson Family Chiropractic of ABQ LLC
Other providers in Albuquerque, NM
- Dee Dee Anders
- Jill M Andersen
- Maureen Ellen Andersen
- Rebecca Elizabeth Andersen
- Anderson Chiropractic, PC
- Adrian Alexis Anderson
- Alison L Anderson
- Annalise Kay Anderson
- Bobbie Anderson
- Brittini Anderson
All providers in Albuquerque, NM · Chiropractor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.