Logan Andera, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5082-12 Issued in WI

Practice address

577 Braund St
Onalaska, WI 54650-8556

Phone

(608) 406-2488

Fax

(608) 519-2488

NPI assigned

Mar 3, 2015

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

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

River City Chiropractic S.C. 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• River City Chiropractic S.C.

  • Chiropractor
  • Onalaska, WI
  • NPI 1295012219

  WI

  Medicare reassignment Care Compare group
• Chiropractic & Physical Therapy, Inc

  • Physical Therapist
  • Onalaska, WI
  • NPI 1619214848

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1962894790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 BRAUND ST",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508556",
            "telephone_number": "608-406-2488",
            "fax_number": "608-519-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 BRAUND ST",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508556",
            "telephone_number": "608-406-2488",
            "fax_number": "608-519-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERA",
        "first_name": "LOGAN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-03",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5082-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Lynn Alvin
• Randy Ammerman
• Ams of Wisconsin
• Ams of Wisconsin, LLC
• David Eugene Amundson, D.D.S.
• Carly Nicole Anderson, LPN
• John James Anderson, D.C.
• Lindsay Anderson
• Renata M Anderson, DC
• Joseph Alan Angell, ATC

• All providers in Onalaska, WI
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.