Carl Anderson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-923 Issued in ID

Practice address

1505 S Five Mile Rd
Boise, ID 83709-1374

Phone

(208) 377-0577

Fax

(208) 658-6085

NPI assigned

Apr 26, 2006

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 ID

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• A Plus Chiropractic, PLLC

  • Chiropractor
  • Boise, ID
  • NPI 1215137039
  Medicare reassignment NPD Authorized official

Specialty

Chiropractic

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1992761928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 S FIVE MILE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091374",
            "telephone_number": "208-377-0577",
            "fax_number": "208-658-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 S FIVE MILE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091374",
            "telephone_number": "208-377-0577",
            "fax_number": "208-658-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CARL",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Harold Anderson, RRT, RPFT
• Ash Anderson
• Ashlyn Anderson
• Brittany Colette Anderson, L.M.T
• Caitlin Elizabeth Anderson, AGNP
• Cody Anderson, DPT
• Cynthia Anne Anderson, RN
• Dara Anderson, NP-C
• David Kevin Anderson, M.D.
• Dusti Anderson, BSN RN

• All providers in Boise, ID
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.