Rhonda Joan Marty Anderson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Practice address

1310 N Il RT 251
Lostant, IL 61334

Phone

(815) 368-3421

Fax

(815) 368-3404

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1993

Medicare assignment

May accept Medicare assignment

Group practices

Marty Chiropractic Wellness Center PCGroup PAC ID 3274542444, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Marty Chiropractic Wellness Center, P.C.

  • Chiropractor
  • Lostant, IL
  • NPI 1750554010
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821187493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207",
            "address_2": "1310 N IL RT 251",
            "city": "LOSTANT",
            "state": "IL",
            "postal_code": "61334",
            "telephone_number": "815-368-3421",
            "fax_number": "815-368-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 N IL RT 251",
            "city": "LOSTANT",
            "state": "IL",
            "postal_code": "61334",
            "telephone_number": "815-368-3421",
            "fax_number": "815-368-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTY ANDERSON",
        "first_name": "RHONDA",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Wayne Anderson, DC
• Lostant Comm Unit SCH Dist 425
• Lostant Fire Protection District
• Marty Chiropractic Wellness Center, P.C.

• Chiropractor in Lostant, IL
• Providers in Lostant, IL by specialty
• Chiropractor in Illinois

• 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.
• 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.