Organization Active NPI

Anderson Family Chiropractic, LLC

Doing business as Healthways Chiropractic and Integrated Wellness Center

  • Chiropractor
  • Mankato, MN
National Provider Identifier
1093961401
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4350 Issued in MN
Legal business name
ANDERSON FAMILY CHIROPRACTIC, LLC
Doing business as
Healthways Chiropractic and Integrated Wellness Center
Practice address
121 E Main St
Suite 102
Mankato, MN 56001-3579
Phone
(507) 388-5315
Fax
(507) 388-2699
NPI assigned
Aug 18, 2008
Last updated
Aug 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Dr. Bryce Douglas Anderson, D.C.NPI 1528096351
Title
Owner
Phone
(507) 388-5315

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4350 MN Primary

Addresses

Primary practice location

121 E Main St
Suite 102
Mankato, MN 56001-3579

Mailing address

121 E Main St
Suite 102
Mankato, MN 56001-3579
Phone (507) 388-5315

Other names 1

  • Healthways Chiropractic and Integrated Wellness Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081007000892 MN Part B Supplier - Clinic/Group Practice 7416025176 Receives reassigned benefits from 1 practitioner
Practice locations: Mankato, MN

National Provider Directory

National Provider Directory

Locations

121 E Main St
Ste 102
Mankato, MN 56001
Phone (507) 388-5315

500 S Broad St
Ste 102
Mankato, MN 56001
Phone (507) 388-5315

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1093961401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E MAIN ST",
            "address_2": "SUITE 102",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013579",
            "telephone_number": "507-388-5315",
            "fax_number": "507-388-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E MAIN ST",
            "address_2": "SUITE 102",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013579",
            "telephone_number": "507-388-5315",
            "fax_number": "507-388-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-388-5315",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthways Chiropractic and Integrated Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.