Individual provider Active NPI

Steven R Anderson, D.C.

  • Chiropractor
  • Mesquite, TX
National Provider Identifier
1750696332
Registry record updated Aug 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4402 Issued in TX
Practice address
3334 N Town East Blvd
Suite 102
Mesquite, TX 75150-3858
Phone
(972) 681-8321
Fax
(972) 613-8927
NPI assigned
Aug 8, 2010
Last updated
Aug 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4402 TX Primary

Addresses

Primary practice location

3334 N Town East Blvd
Suite 102
Mesquite, TX 75150-3858

Mailing address

3334 N Town East Blvd
Suite 102
Mesquite, TX 75150-3858
Phone (972) 681-8321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4402TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
American Chiropractic Clinic Chiropractor PastSince May 18, 2017 Accepting new patients
American Integrated Healthcare PLLC Chiropractor PastSince Nov 8, 2018 Accepting new patients

Organizations & group practices 2

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": "1281225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281225600000",
    "number": "1750696332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 N TOWN EAST BLVD",
            "address_2": "SUITE 102",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751503858",
            "telephone_number": "972-681-8321",
            "fax_number": "972-613-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3334 N TOWN EAST BLVD",
            "address_2": "SUITE 102",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751503858",
            "telephone_number": "972-681-8321",
            "fax_number": "972-613-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "STEVEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-08",
        "last_updated": "2010-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2010; 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.