Donald J Anderson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

006 0000889 Issued in VT

Practice address

222 Holiday Dr
Suite 22
White River Junction, VT 05001-2043

Phone

(802) 295-9360

Fax

(802) 295-9360

NPI assigned

Sep 28, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 12

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anderson Chiropractic LLCGroup PAC ID 2769666932, 2 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anderson Chiropractic LLC

  • Chiropractor
  • Wilder, VT
  • NPI 1699070755
  Medicare reassignment Care Compare group NPD Authorized official
• Donald J. Anderson D.C.

  dba Anderson Chiropractic Center

  • Chiropractor
  • White River Junction, VT
  • NPI 1790995108
  Authorized official Same address or phone
• Livewell Chiropractic PLLC

  • Chiropractor
  • White River Junction, VT
  • NPI 1013823095
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1972694313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 HOLIDAY DR",
            "address_2": "SUITE 22",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050012043",
            "telephone_number": "802-295-9360",
            "fax_number": "802-295-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 HOLIDAY DR",
            "address_2": "SUITE 22",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050012043",
            "telephone_number": "802-295-9360",
            "fax_number": "802-295-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DONALD",
        "middle_name": "J",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "006 0000889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBA",
            "identifier": "03036",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS VERMONT",
            "identifier": "ANDE00018294",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN0183",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA 1 OF 2",
            "identifier": "9962540",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BC",
            "identifier": "0506153Y0VT01",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LANDMARK",
            "identifier": "VT0889B",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00213645",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004461724",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA 2 OF 2",
            "identifier": "030331022 0004",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS TRICARE NORTH",
            "identifier": "030331022",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "98L1002",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U21928",
            "identifier": "HARVARD PILGRIM",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Omar Al-Ramady, MBBS
• Mary Elizabeth Alberty, RD, CDE
• Jill Alger
• Alice Peck Day Memorial Hospital (APD Hand and Upper Extremity Specialists)
• Casey Allington
• Joseph Anderson, M.D.
• Kristen Aremburg, APRN
• Dawn R Arnold, PT
• Yemi Arunsi, RN
• Caysie Anne Ashworth, RN

• Chiropractor in White River Junction, VT
• Providers in White River Junction, VT by specialty
• Chiropractor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.