Individual provider Active NPI

Tera Hamo Anderson, D.C.

  • Chiropractor
  • Flint, MI
National Provider Identifier
1801881925
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008899 Issued in MI
Practice address
1174 W Hill Rd
Suite 2
Flint, MI 48507-4776
Phone
(810) 238-9066
Fax
(810) 238-9139
NPI assigned
Sep 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008899 MI Primary
Sports Physician Chiropractor 111NS0005X 3994 IA

Addresses

Primary practice location

1174 W Hill Rd
Suite 2
Flint, MI 48507-4776

Mailing address

1174 W Hill Rd
Suite 2
Flint, MI 48507-4776
Phone (810) 238-9066

Other names 1

  • Dr. Tera Kay Hamo Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050708000750 MI Practitioner - Chiropractic 4688610041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anderson Hamo Chiropractic, PLCGroup PAC ID 2062458425, 2 clinicians

Practice addresses (Care Compare)

2201 E Hill Rd
Grand Blanc, MI 48439-5057
Phone (810) 771-7736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3994IAMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Hamo Chiropractic, PLC Chiropractor CurrentSince Apr 28, 2005 Accepting new patients

Locations

1174 W Hill Rd
Ste 2
Flint, MI 48507
Phone (810) 238-9066

2201 E Hill Rd
Grand Blanc, MI 48439
Phone (810) 771-7736

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1801881925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1174 W HILL RD",
            "address_2": "SUITE 2",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485074776",
            "telephone_number": "810-238-9066",
            "fax_number": "810-238-9139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1174 W HILL RD",
            "address_2": "SUITE 2",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485074776",
            "telephone_number": "810-238-9066",
            "fax_number": "810-238-9139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "TERA",
        "middle_name": "HAMO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008899",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IA",
            "license": "3994",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERA",
            "last_name": "HAMO",
            "middle_name": "KAY",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.