Individual provider Active NPI

Alisha Leann Anderson, D.C.

  • Chiropractor
  • Fargo, ND
National Provider Identifier
1932338845
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
843 Issued in ND
Practice address
4132 30TH Ave S
Suite 102
Fargo, ND 58104-8407
Phone
(701) 241-7737
Fax
(701) 241-7738
NPI assigned
Jul 13, 2009
Last updated
Jul 13, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 843 ND Primary

Addresses

Primary practice location

4132 30TH Ave S
Suite 102
Fargo, ND 58104-8407

Mailing address

4132 30TH Ave S
Suite 102
Fargo, ND 58104-8407
Phone (701) 241-7737

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090917000211 ND Practitioner - Chiropractic 2365598224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4132 30TH Ave S
Suite 102
Fargo, ND 58104-8407
Phone (701) 241-7737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
843NDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Alisha Anderson PC Chiropractor CurrentSince Aug 3, 2009 Accepting new patients

Locations

4132 30th Ave S
Ste 102
Fargo, ND 58104
Phone (701) 241-7733

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247443200000",
    "number": "1932338845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 30TH AVE S",
            "address_2": "SUITE 102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048407",
            "telephone_number": "701-241-7737",
            "fax_number": "701-241-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4132 30TH AVE S",
            "address_2": "SUITE 102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048407",
            "telephone_number": "701-241-7737",
            "fax_number": "701-241-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ALISHA",
        "middle_name": "LEANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2009-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; 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.