Caleb Anderson

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2024009439 Issued in MO

Practice address

7235 Gayola PL
Saint Louis, MO 63143-2313

Phone

(812) 606-5576

NPI assigned

Mar 12, 2024

Sex

Male

Sole proprietor

No

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 MO

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Gateway Chiropractic LLCGroup PAC ID 5991000119, 2 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gateway Chiropractic LLC

  • Chiropractor
  • Saint Louis, MO
  • NPI 1396104931
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1619735859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7235 GAYOLA PL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631432313",
            "telephone_number": "812-606-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7235 GAYOLA PL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631432313",
            "telephone_number": "812-606-5576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CALEB",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2024009439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bentley James Anderson, DDS
• Beverly Faye Anderson, PHARMD
• Blaire Lori Anderson, MD
• Blake Anderson, DO
• Brooke Marie Anderson, PMHNP
• Caroline Victoria Anderson, FNP-C
• Cody Charles Anderson, PHARMD
• Connie Anderson, MD
• Craig Martin Anderson, DC
• D Claire Anderson, MD

• Chiropractor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.