Craig Warren Anderson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3886-012 Issued in WI

Practice address

1002 Broadway St N
Menomonie, WI 54751-1515

Phone

(715) 231-2222

Fax

(715) 231-2224

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Family Chirocare SC

  • Chiropractor
  • Glenwood City, WI
  • NPI 1770610990
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1811074644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 166",
            "city": "GLENWOOD CITY",
            "state": "WI",
            "postal_code": "540130166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 BROADWAY ST N",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547511515",
            "telephone_number": "715-231-2222",
            "fax_number": "715-231-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CRAIG",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3886-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS WISCONSIN",
            "identifier": "721527402010",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38945200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MINNESOTA",
            "identifier": "458ROAN",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Rae Alstead, PA-C
• American Lutheran Homes, Inc.
• And I Shall Rise, LLC
• Anderson Chiropractic and Wellness LLC
• Amy S Anderson, PT
• Emily Andre, DMD, NMD, IBDM
• Christina Nicole Andrist, D.O.
• Madeline Apriesnig
• Arbor Place, Inc.
• Arbor Place, Inc.

• Chiropractor in Menomonie, WI
• Providers in Menomonie, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.