CARL ANDERSON (D.C.) – Chiropractor, NPI 1992761928

CARL ANDERSON (D.C.) is a healthcare provider. based in Boise, Idaho. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. CHIA-923 (ID). The NPI Number for CARL ANDERSON (D.C.) is 1992761928

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
CARL ANDERSON (D.C.)
NPI
1992761928
Phone
(208) 377-0577
Address
1505 S FIVE MILE RD
Enumeration Date
26 April 2006
Last Update Date
18 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083770577
Graduation Year
1999 (27 years ago)
PAC ID
4486679248
Professional Enrollment ID
I20051012000036
Address ID
ID837091276BO9839XCARX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

343 CHIROPRACTIC in ID

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Provider Addresses for CARL ANDERSON (D.C.)

  • 1505, South Five Mile Road, Boise, Ada County, Idaho, 83709, United States

    BOISE, ID 837091374

    Phone: (208) 377-0577

    Fax: (208) 658-6085

    Type: Mailing

  • South Five Mile Road, Boise, Ada County, Idaho, 83709, United States

    BOISE, ID 837091374

    Phone: (208) 377-0577

    Fax: (208) 658-6085

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-10-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051012000036IChiropracticIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions16535$0
View full utilization report →

Insurance plans in this area (ZIP 83709)

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Reviews

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Frequently asked questions

What is the standard ID for CARL ANDERSON (D.C.) in the U.S.?
In the U.S., CARL ANDERSON (D.C.) is identified by NPI 1992761928.
Is CARL ANDERSON (D.C.) currently accepting referrals based on NPI status?
Registry metadata lists CARL ANDERSON (D.C.) as active.
What does the directory say CARL ANDERSON (D.C.) does?
Insurance directories may phrase it differently, but here CARL ANDERSON (D.C.) maps to Chiropractor. Clinical services aligned with this taxonomy classification.
What city is tied to CARL ANDERSON (D.C.)?
The directory associates CARL ANDERSON (D.C.) with Boise, Idaho. Check all listed addresses for suites or satellite offices.
Can I export CARL ANDERSON (D.C.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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