Organization Active NPI

Peggy J Anderson

Doing business as Anderson Chiropractic

  • Chiropractor
  • McConnelsville, OH
National Provider Identifier
1629118476
Registry record updated Apr 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2439 Issued in OH
Legal business name
PEGGY J ANDERSON
Doing business as
Anderson Chiropractic
Practice address
290 E Bell Ave
MC Connelsville, OH 43756
Phone
(740) 962-5700
Fax
(740) 962-6093
NPI assigned
Feb 8, 2007
Last updated
Apr 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2012

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

Authorized official

Name
Dr. Nathan John Doudna, DCNPI 1144403585
Title
Associate Chiropractor
Phone
(740) 962-5700

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
Chiropractor 111N00000X 2439 OH Primary

Addresses

Primary practice location

290 E Bell Ave
MC Connelsville, OH 43756

Mailing address

290 E Bell Ave
MC Connelsville, OH 43756
Phone (740) 962-5700

Other identifiers 1

IdentifierTypeStateIssuer
2350450MedicaidOH

Other names 1

  • Anderson Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120413000209 OH Part B Supplier - Clinic/Group Practice 7517128820 Receives reassigned benefits from 2 practitioners
Practice locations: McConnelsville, OH

National Provider Directory

National Provider Directory

Locations

290 E Bell Ave
McConnelsvle, OH 43756
Phone (740) 962-3362

Practitioners & affiliated clinicians

Practitioners 3

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": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334534400000",
    "number": "1629118476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 E BELL AVE",
            "city": "MC CONNELSVILLE",
            "state": "OH",
            "postal_code": "43756",
            "telephone_number": "740-962-5700",
            "fax_number": "740-962-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 E BELL AVE",
            "city": "MC CONNELSVILLE",
            "state": "OH",
            "postal_code": "43756",
            "telephone_number": "740-962-5700",
            "fax_number": "740-962-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGGY J ANDERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "DOUDNA",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "ASSOCIATE CHIROPRACTOR",
        "authorized_official_telephone_number": "740-962-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2350450",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McConnelsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; 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.