Individual provider Active NPI

Andrea Ansenberger, D.C

  • Chiropractor
  • Cambridge, MA
National Provider Identifier
1891249231
Registry record updated Aug 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3543 Issued in MA
Practice address
1718 Massachusetts Ave
Cambridge, MA 02138-1804
Phone
(617) 492-5438
NPI assigned
Aug 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3543 MA Primary

Addresses

Primary practice location

1718 Massachusetts Ave
Cambridge, MA 02138-1804

Mailing address

1718 Massachusetts Ave
Cambridge, MA 02138-1804
Phone (617) 492-5438

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160921001644 MA Practitioner - Chiropractic 0345537205 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3543MAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Khalsa Chiropractic Office P.C. Chiropractor CurrentSince Sep 9, 2016 Accepting new patients
Sports Group Physical Therapy PastSince Sep 9, 2016 Accepting new patients

Locations

1718 Massachusetts Ave
Cambridge, MA 02138
Phone (617) 492-5438

Organizations & group practices 2

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": "1471132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471132800000",
    "number": "1891249231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 MASSACHUSETTS AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381804",
            "telephone_number": "617-492-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 MASSACHUSETTS AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381804",
            "telephone_number": "617-492-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSENBERGER",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-14",
        "last_updated": "2016-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.