Organization Active NPI

Arkansas Lane Chiropractic PA

  • Chiropractor
  • Arlington, TX
National Provider Identifier
1902821986
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7390 Issued in TX
Legal business name
ARKANSAS LANE CHIROPRACTIC PA
Practice address
3602 Matlock Rd Ste 204
Arlington, TX 76015-3600
Phone
(817) 274-7776
Fax
(817) 274-0296
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
Dr. Monte Stuart Anderson, DC
Title
Doctor Owner
Phone
(817) 274-7776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7390 TX Primary

Addresses

Primary practice location

3602 Matlock Rd Ste 204
Arlington, TX 76015-3600

Mailing address

3602 Matlock Rd Ste 204
Arlington, TX 76015-3600
Phone (817) 274-7776

Other identifiers 2

IdentifierTypeStateIssuer
678222OtherTXMEDICARE
152222901MedicaidTX

Other names 1

  • Dr Monte Anderson Other name

National Provider Directory

National Provider Directory

Locations

3132 Matlock Rd
Ste 305
Arlington, TX 76015
Phone (817) 274-7776

2704 W Arkansas Ln
Dwg, TX 76016
Phone (817) 274-7776

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1902821986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3602 MATLOCK RD STE 204",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760153600",
            "telephone_number": "817-274-7776",
            "fax_number": "817-274-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 MATLOCK RD STE 204",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760153600",
            "telephone_number": "817-274-7776",
            "fax_number": "817-274-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS LANE CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MONTE",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "817-274-7776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "678222",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152222901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Monte Anderson",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Dr Monte Anderson",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.