Organization Active NPI

Anderson Specific Chiropractic

  • Chiropractor
  • Dallas, GA
National Provider Identifier
1699972703
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
005499 Issued in GA
Legal business name
ANDERSON SPECIFIC CHIROPRACTIC
Practice address
1099 Merchants Dr
Ste B
Dallas, GA 30132-3004
Phone
(770) 443-4225
Fax
(770) 443-3890
NPI assigned
Jul 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael Francis Anderson, D.C.NPI 1669538708
Title
President
Phone
(770) 443-4225

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 SINGLE SPECIALTY GROUP 111N00000X 005499 GA Primary

Addresses

Primary practice location

1099 Merchants Dr
Ste B
Dallas, GA 30132-3004

Mailing address

1099 Merchants Dr
Ste B
Dallas, GA 30132-3004
Phone (770) 443-4225

National Provider Directory

National Provider Directory

Locations

1099 Merchants Dr
Ste B
Dallas, GA 30132
Phone (770) 443-4225

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.

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699972703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 MERCHANTS DR",
            "address_2": "STE B",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301323004",
            "telephone_number": "770-443-4225",
            "fax_number": "770-443-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 MERCHANTS DR",
            "address_2": "STE B",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301323004",
            "telephone_number": "770-443-4225",
            "fax_number": "770-443-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON SPECIFIC CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-443-4225",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "005499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.