DOUGLAS A ANDERSON (NPI# 1699788307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699788307 |
| Entity Type | Individual |
| Full Name | DOUGLAS A ANDERSON |
| Credential | DC |
| Practice Address |
12510 W 62nd Terrace Ste #101 Shawnee KS 66216 |
| Practice Telephone | 9139622244 |
| Practice Fax Number | 9139621373 |
| Mailing Telephone | 9139622244 |
| Mailing Fax Number | 9139621373 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4194 | KS | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497183396 | Douglas Anderson | Occupational Therapy Assistant | 234 Carney St, Twin Falls, ID 83301-5010 | 2013-10-31 |
| 1639417983 | Douglas Alan Anderson | Internal Medicine | 11942 N 95th St, Scottsdale, AZ 85260-7133 | 2013-01-22 |
| 1184900292 | Douglas M Anderson | Pharmacist | 13 Lafayette St, Saco, ME 04072-2022 | 2011-11-02 |
| 1467667741 | Douglas M Anderson | Pharmacist | 4510 Jubilee Ct, Powder Springs, GA 30127-4946 | 2007-05-11 |
| 1972718310 | Douglas W Anderson | Dentist | 18160 Cottonwood Rd, Pmb 258, Sunriver, OR 97707 | 2007-05-11 |
| 1821157918 | Douglas M Anderson | Dentist | 2651 W South Jordan Pkwy Ste 201, South Jordan, UT 84095-8966 | 2006-12-06 |
| 1568565109 | Douglas M Anderson | Social Worker | 701 Richmond Ave, Houston, TX 77006-5511 | 2006-09-07 |
| 1477554095 | Douglas Calvin Anderson Jr. | Pharmacist | 1712a E Broad Ave, East Albany Medical Center, Albany, GA 31705-2611 | 2005-08-04 |
| 1750381851 | Douglas L Anderson | Psychologist | 2109 S Norton Ave, Sioux Falls, SD 57105-3730 | 2005-07-29 |
| 1841294774 | Douglas Edward Anderson | Internal Medicine | 2801 Nw Mercy Dr Ste 300, Roseburg, OR 97471-2348 | 2005-06-09 |
| Street Address |
12510 W 62ND TERRACE STE #101 |
| City | SHAWNEE |
| State | KS |
| Zip Code | 66216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912431925 | Sara Fattaey | Social Worker | 7020 Constance St, Shawnee, KS 66216 | 2017-04-17 |
| 1952778631 | Martin Gale Volker | Pharmacist | 13550 W 63rd Street, Shawnee, KS 66216 | 2015-08-28 |
| 1952799827 | Susan Thomure | Physical Therapy Assistant | 6401 Long, Shawnee, KS 66216 | 2014-12-31 |
| 1144594326 | Tom Wigginton Medical, Inc. | Durable Medical Equipment & Medical Supplies | 12616 W 62nd Terr., Suite 115c, Shawnee, KS 66216 | 2012-03-06 |
| 1548572811 | Tyler Ross Young | Optometrist | 12129 Shawnee Mission Pkwy, Shawnee, KS 66216 | 2010-07-02 |
| 1689801441 | Charles Richard Ford | Ophthalmology | 4742 Black Swan Drive, Shawnee, KS 66216 | 2009-06-18 |
| 1659412237 | Carol J. Akers | Dentist | 12480 W 62nd Ter Ste 200, Shawnee, KS 66216 | 2007-02-08 |
| 1861442451 | Dayna M Brinckman | Dentist | 7407 Noland Rd, Shawnee, KS 66216 | 2006-05-12 |
| 1932164894 | Vintage Park At Lenexa LLC | Assisted Living Facility | 8710 Caenen Lake Road, Lenexa, KS 66216 | 2006-04-20 |
| 1396253191 | Tyler Young, O.d., P.a. | Optometrist | 12129 Shawnee Mission Pkwy, Shawnee, KS 66216 | 2018-01-14 |
| Find all providers in zip 66216 | ||||
| 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 |
|---|---|---|---|---|
| 1679055115 | Isom Chiropractic LLC | Chiropractor | 10942 W 74th Ter, Shawnee, KS 66203-4420 | 2018-08-31 |
| 1366938920 | Dana James Huebner | Chiropractor | 16314 W 65th St, Shawnee, KS 66217-9799 | 2018-07-06 |
| 1336661263 | Margaret Flynn | Chiropractor | 22120 Midland Dr., Shawnee, KS 66266 | 2017-07-12 |
| 1073991998 | Dustin H. Moses | Chiropractor | 15945 W 65th St, Shawnee, KS 66217-9342 | 2015-05-12 |
| 1467880856 | States Chiropractic Pllc | Chiropractor | 2806 N Kickapoo Ave, Shawnee, OK 74804-1798 | 2013-10-22 |
| 1376894600 | Kyle L States | Chiropractor | 65 Timber Creek Dr, Shawnee, OK 74804-1148 | 2012-09-26 |
| 1851523567 | Sean Cailteux | Chiropractor | 7410 Switzer Rd, Shawnee, KS 66203 | 2009-08-13 |
| 1508006016 | Jacob J Leba | Chiropractor | 11 W Macarthur St, Shawnee, OK 74804-2025 | 2009-02-23 |
| 1790934065 | Joel Erron Terry | Chiropractor | 12402 W 62nd Ter, Shawnee, KS 66216-1810 | 2008-09-11 |
| 1831383298 | Dustin James Hedstrom | Chiropractor | 10610 Shawnee Mission Pkwy Ste 210, Shawnee, KS 66203-3501 | 2007-08-29 |
| Find all providers in SHAWNEE | ||||
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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.