Individual provider Active NPI

Alisha Danyiel Anderson, DC

  • Chiropractor
  • Beaver, WV
National Provider Identifier
1790792992
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
761 Issued in WV
Practice address
385 Airport Rd
Beaver, WV 25813-9596
Phone
(304) 256-1110
Fax
(304) 256-2442
NPI assigned
Aug 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
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 761 WV Primary

Addresses

Primary practice location

385 Airport Rd
Beaver, WV 25813-9596

Mailing address

385 Airport Rd
Beaver, WV 25813-9596
Phone (304) 256-1110

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
761WVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Health Chiropractic Chiropractor PastSince Jan 1, 2015 Accepting new patients
Anderson Chiropractic Center Chiropractor PastSince Aug 5, 2005 Accepting new patients
New River Chiropractic & Wellness Center Chiropractor Past Accepting new patients

Organizations & group practices 3

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790792992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 AIRPORT RD",
            "city": "BEAVER",
            "state": "WV",
            "postal_code": "258139596",
            "telephone_number": "304-256-1110",
            "fax_number": "304-256-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 AIRPORT RD",
            "city": "BEAVER",
            "state": "WV",
            "postal_code": "258139596",
            "telephone_number": "304-256-1110",
            "fax_number": "304-256-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ALISHA",
        "middle_name": "DANYIEL",
        "name_prefix": "Mrs.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, WV

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.