Organization Active NPI

Modern Chiropractic Inc.

Doing business as Anderson Family Wellness

  • Chiropractor
  • Lakewood, CO
National Provider Identifier
1972558088
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5227 Issued in CO
Legal business name
MODERN CHIROPRACTIC INC.
Doing business as
Anderson Family Wellness
Practice address
963 S Kipling Pkwy
Lakewood, CO 80226-3946
Phone
(303) 985-4002
NPI assigned
May 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Eric W. Anderson, D.C.NPI 1922054147
Title
President
Phone
(303) 985-4002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5227 CO Primary

Addresses

Primary practice location

963 S Kipling Pkwy
Lakewood, CO 80226-3946

Mailing address

963 S Kipling Pkwy
Lakewood, CO 80226-3946
Phone (303) 985-4002

Other names 1

  • Anderson Family Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

963 S Kipling Pkwy
Lakewood, CO 80226
Phone (303) 403-8888

1360 S Wadsworth Blvd
Ste 104
Lakewood, CO 80232
Phone (303) 985-4002

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972558088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 S KIPLING PKWY",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263946",
            "telephone_number": "303-985-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 S KIPLING PKWY",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263946",
            "telephone_number": "303-985-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-985-4002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson Family Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.