Active NPI
Roger S. Andersen, D.O.
- Neuromusculoskeletal Medicine & OMM Physician
- Casa Grande, AZ
National Provider Identifier
1821167313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 1427
- Practice address
- 1923 N Trekell Rd
Casa Grande, AZ 85222-1706 - Phone
- (520) 836-3412
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 1427 | AZ | Primary |
Addresses
Primary practice location
1923 N Trekell Rd
Casa Grande, AZ 85222-1706
Mailing address
704 N Stewart
Mesa, AZ 85201-4641
Phone (480) 969-7972
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carson Robertson Chiropractic Inc | Current | Accepting new patients | |
| Alpha Physical Therapy, Inc | Past | Accepting new patients | |
| Pentz Health Services LLC | Past | Accepting new patients |
Locations
4955 S Alma School Rd
Ste 10
Chandler, AZ 85248
Phone (480) 771-4400
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 and National Provider Directory roles.
-
- Chiropractor
- Chandler, AZ
- NPI 1922204049
-
- Chiropractor
- Chandler, AZ
- NPI 1841431004
-
- Sports Physician Chiropractor
- Mesa, AZ
- NPI 1184762890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280188800000",
"number": "1821167313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 N STEWART",
"city": "MESA",
"state": "AZ",
"postal_code": "852014641",
"telephone_number": "480-969-7972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1923 N TREKELL RD",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "852221706",
"telephone_number": "520-836-3412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSEN",
"first_name": "ROGER",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2010-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "AZ",
"license": "1427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casa Grande, AZ
- Michaella Alvarez
- America'S Best Contacts & Eyeglasses
- American Oncology Partners, P.a.
- American Oncology Partners, P.a.
- Americas Best Care Healthcare Agency Inc
- Hailey Anderson
- Melissa Marie Andersson, CNM
- Megan E. Andree, MS, OTR/L
- Angel Care Health Services, Inc.
- Bose Grace Anifowose, DNP, FNP, PMHNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.