NPIMap

Organization Active NPI

Anderson Life Chiropractic P.C.

  • Chiropractor
  • Greenwood Village, CO
National Provider Identifier
1619960853
Registry record updated Oct 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5387 Issued in CO
Legal business name
ANDERSON LIFE CHIROPRACTIC P.C.
Practice address
8400 E Prentice Ave
Suite 700
Greenwood Village, CO 80111-2912
Phone
(720) 316-2202
Fax
(303) 840-7073
NPI assigned
Aug 23, 2005
Last updated
Oct 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2012

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

Authorized official

Name
Mr. Thomas Dean Anderson, D.C.NPI 1265551576
Title
Chiropractor/Owner
Phone
(720) 316-2202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5387 CO Primary

Addresses

Primary practice location

8400 E Prentice Ave
Suite 700
Greenwood Village, CO 80111-2912

Mailing address

8400 E Prentice Ave
Suite 700
Greenwood Village, CO 80111-2912
Phone (720) 316-2202

Other identifiers 1

IdentifierTypeStateIssuer
486948MedicaidCO

Other names 1

  • Anderson Life Chiropractic Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

8400 E Prentice Ave
Ste 700
Greenwood Village, CO 80111
Phone (720) 316-2202

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1619960853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 E PRENTICE AVE",
            "address_2": "SUITE 700",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112912",
            "telephone_number": "720-316-2202",
            "fax_number": "303-840-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 E PRENTICE AVE",
            "address_2": "SUITE 700",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112912",
            "telephone_number": "720-316-2202",
            "fax_number": "303-840-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON LIFE CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "720-316-2202",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "486948",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson Life Chiropractic Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.