Individual provider Active NPI

Corey Robert Anderson, D.C.

  • Chiropractor
  • Hastings, NE
National Provider Identifier
1700805256
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1246 Issued in NE
Practice address
223 E 14TH St
Suite 50
Hastings, NE 68901-3200
Phone
(402) 462-9999
Fax
(402) 462-9545
NPI assigned
Jul 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1246 NE Primary

Addresses

Primary practice location

223 E 14TH St
Suite 50
Hastings, NE 68901-3200

Mailing address

223 E 14TH St
Suite 50
Hastings, NE 68901-3200
Phone (402) 462-9999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101007000335 NE Practitioner - Chiropractic 0446442503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1214 Hillcrest Dr
Juniata, NE 68955-3124
Phone (402) 462-9999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Corey Anderson DC Inc Chiropractor CurrentSince Jan 25, 2011 Accepting new patients

Locations

223 E 14th St
Ste 50
Hastings, NE 68901
Phone (402) 462-9999

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700805256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 E 14TH ST",
            "address_2": "SUITE 50",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689013200",
            "telephone_number": "402-462-9999",
            "fax_number": "402-462-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 E 14TH ST",
            "address_2": "SUITE 50",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689013200",
            "telephone_number": "402-462-9999",
            "fax_number": "402-462-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "COREY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.