THOMAS KERVIN ANDERSEN II (NPI# 1114536869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114536869 |
| Entity Type | Individual |
| Full Name | THOMAS KERVIN ANDERSEN II |
| Credential | DC |
| Practice Address |
4517 Lead Mine Rd Raleigh NC 27612-3326 |
| Practice Telephone | 9197818830 |
| Practice Fax Number | 9197811678 |
| Mailing Telephone | 9197818830 |
| Mailing Fax Number | 9197811678 |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5191 | NC | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407043417 | Thomas Andersen | Dentist | 14265 Sunrise Ave, Brookfield, WI 53005-1122 | 2007-10-03 |
| 1073597134 | Thomas W Andersen | Family Medicine | 562 W 2nd Ave, Lititz, PA 17543-1816 | 2005-12-02 |
| 1972828705 | Thomas Andersen | Pharmacist | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2010-04-05 |
| 1275719387 | Thomas L Andersen | Optometrist | 1645 N Reading Rd, Stevens, PA 17578-9306 | 2008-01-18 |
| 1114999380 | Thomas J. Andersen | Anesthesiology | 5901 Monclova Rd, Maumee, OH 43537-1855 | 2006-02-02 |
| Street Address |
4517 LEAD MINE RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27612-3326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225056096 | Charles B Kubasko | Chiropractor | 4517 Lead Mine Rd, Raleigh, NC 27612-3326 | 2006-07-18 |
| 1114946332 | Crabtree Chiropractic Center, Pa | Chiropractor | 4517 Lead Mine Rd, Raleigh, NC 27612-3326 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538714068 | George J Henderon | Orthotist | 5313 Duraleigh Road, Ste 151, Raleigh, NC 27612 | 2019-08-01 |
| 1902399223 | Iain Knox Nathaniel Irwin | Marriage & Family Therapist | 7701 Alborz Dr, Raleigh, NC 27612 | 2018-06-12 |
| 1225525884 | Patterns Behavioral Services North Carolina, Inc | Assistant Behavior Analyst | 3738 National Dr, Ste 110, Raleigh, NC 27612 | 2018-04-19 |
| 1053820720 | The Art Counseling L.L.C. | Psychologist | 4610 Twisted Oaks Drive Apt 1807, Raleigh, NC 27612 | 2017-09-26 |
| 1376052431 | Amanda Steed | Speech-Language Pathologist | 5519 Hamstead Crossing, Raleigh, NC 27612 | 2017-09-21 |
| 1295250991 | Neal H. Patel Dds Pllc | Dentist | 7211 Shellburne Dr, Raleigh, NC 27612 | 2017-08-03 |
| 1811426109 | Marquita Randolph-breeden | Behavior Technician | 5816 Creedmoor Road, Suite 104, Raleigh, NC 27612 | 2017-06-08 |
| 1336518554 | Travis Edward Williams | Counselor | 4801 Glenwood Ave., Suite 200, Raleigh, NC 27612 | 2015-09-17 |
| 1831587476 | Harris Teeter LLC | Pharmacy | 2051 W Millbrook Road, Raleigh, NC 27612 | 2015-01-06 |
| 1780072975 | Harris Teeter LLC | Pharmacy | 2051 W. Millbrook Road, Raleigh, NC 27612 | 2014-12-23 |
| Find all providers in zip 27612 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778855 | Brittany Alexa Kopec | Chiropractor | 916 W Morgan St, Raleigh, NC 27603-1512 | 2020-10-19 |
| 1720606213 | Caleb Caudill | Chiropractor | 4913 Professional Ct Ste 218, Raleigh, NC 27609-1927 | 2020-07-10 |
| 1629696398 | Carolina Functional Neurology Center | Chiropractor | 6511 Creedmoor Rd Ste 102, Raleigh, NC 27613-1687 | 2020-07-09 |
| 1164080594 | Michael Woodbury | Chiropractor | 7116 Six Forks Rd Ste A, Raleigh, NC 27615-6262 | 2019-05-31 |
| 1972061489 | Morgan Taylor Lintz | Chiropractor | 7511 Mourning Dove Rd Ste 104, Raleigh, NC 27615-5097 | 2019-03-05 |
| 1407311699 | Tyler Ledford | Chiropractor | 6829 Falls of Neuse Rd Ste 104, Raleigh, NC 27615-5385 | 2019-02-01 |
| 1174007835 | Michael L Ward | Chiropractor | 5701 Tully Ct, Raleigh, NC 27609-3743 | 2018-09-19 |
| 1376022608 | Katherine Lucht | Chiropractor | 4613 Western Blvd, Raleigh, NC 27606-1815 | 2018-08-08 |
| 1730680133 | Rebecca Sutphin | Chiropractor | 7808 Glenharden Dr, Raleigh, NC 27613-1521 | 2018-02-22 |
| 1245730605 | Scott Carlton Councilman II | Chiropractor | 8511 Colonnade Center Dr Ste 132, Raleigh, NC 27615-3067 | 2018-02-12 |
| Find all providers in RALEIGH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.