Active NPI
Michael J Anderson Chiropractic Office Inc
Doing business as Anderson Chiropractic Office
- Chiropractor
- Burlington, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2399-012
- Legal business name
- MICHAEL J ANDERSON CHIROPRACTIC OFFICE INC
- Doing business as
- Anderson Chiropractic Office
- Practice address
- 733 N Pine St
Burlington, WI 53105-1247 - Phone
- (262) 763-7373
- Fax
- (262) 763-8184
- NPI assigned
- Dec 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael J Anderson, DC
- Title
- Owner
- Phone
- (262) 763-7373
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2399-012 | WI | Primary |
Addresses
Primary practice location
733 N Pine St
Burlington, WI 53105-1247
Mailing address
733 N Pine St
Burlington, WI 53105-1247
Phone (262) 763-7373
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578676763 | Medicaid | WI |
Other names 1
- Anderson Chiropractic Office
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
733 N Pine St
Burlington, WI 53105
Phone (262) 763-7373
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Chiropractor
- Burlington, WI
- NPI 1578676763
-
- Chiropractor
- Mequon, WI
- NPI 1063235661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320019200000",
"number": "1649333295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "733 N PINE ST",
"city": "BURLINGTON",
"state": "WI",
"postal_code": "531051247",
"telephone_number": "262-763-7373",
"fax_number": "262-763-8184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "733 N PINE ST",
"city": "BURLINGTON",
"state": "WI",
"postal_code": "531051247",
"telephone_number": "262-763-7373",
"fax_number": "262-763-8184"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL J ANDERSON CHIROPRACTIC OFFICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2011-10-31",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "262-763-7373",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WI",
"license": "2399-012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1578676763",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Anderson Chiropractic Office",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Burlington, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.