Jeffrey O. Anderson, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10417 Issued in FL

Practice address

10031 Pines Blvd Ste 222
Pembroke Pines, FL 33024-6169

Phone

(941) 402-8210

NPI assigned

Jan 8, 2010

Last updated

Apr 19, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chirocare of the Suncoast, LLC

  • Chiropractor
  • Pembroke Pines, FL
  • NPI 1700555281
  NPD Authorized official

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1902136203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9015 TOWN CENTER PKWY UNIT 135",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025308",
            "telephone_number": "941-402-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10031 PINES BLVD STE 222",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246169",
            "telephone_number": "941-402-8210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9015 Town Center Pkwy Unit 135",
            "address_purpose": "LOCATION",
            "city": "Lakewood Ranch",
            "state": "FL",
            "postal_code": "342025308",
            "country_code": "US",
            "telephone_number": "941-402-8210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JEFFREY",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-08",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anchor Medical & Mental Health Center LLC
• David R Ancona, M.D.
• Aida L Anders, PSY.D.
• Danielle Marie Anderson, LCSW
• Debra Anderson, LMHC
• Ashley Viviana Andino
• Michele Andollo
• Kelly Stephanie Andrade, DPT
• Emmanuel Andral
• Eduardo Andre, MD

• Chiropractor in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.