Organization Active NPI

Anders Chiropractic Inc.

  • Chiropractor
  • Wellington, KS
National Provider Identifier
1609979210
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104039 Issued in KS
Legal business name
ANDERS CHIROPRACTIC INC.
Practice address
1315 W 8TH St
Wellington, KS 67152-4700
Phone
(620) 326-7401
Fax
(620) 399-8347
NPI assigned
Sep 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Authorized official

Name
Mr. John Paul Anders, DCNPI 1235232844
Title
Owner
Phone
(620) 326-7401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 0104039 KS Primary

Addresses

Primary practice location

1315 W 8TH St
Wellington, KS 67152-4700

Mailing address

1315 W 8TH St
Wellington, KS 67152-4700
Phone (620) 326-7401

Other identifiers 2

IdentifierTypeStateIssuer
DO5570OtherKSRR MEDICARE PTAN
KA1344OtherKSMEDICARE PTAN

Other names 1

  • John P Anders Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090302000049 KS Part B Supplier - Clinic/Group Practice 3870659766 Receives reassigned benefits from 2 practitioners
Practice locations: Wellington, KS

National Provider Directory

National Provider Directory

Locations

124 W 15th St
Wellington, KS 67152
Phone (620) 326-7401

1315 W 8th St
Wellington, KS 67152
Phone (620) 326-7401

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1609979210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 W 8TH ST",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "671524700",
            "telephone_number": "620-326-7401",
            "fax_number": "620-399-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 W 8TH ST",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "671524700",
            "telephone_number": "620-326-7401",
            "fax_number": "620-399-8347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERS CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "ANDERS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-326-7401",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0104039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PTAN",
            "identifier": "DO5570",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "KA1344",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John P Anders",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wellington, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.