Anderson Chiropractic Clinic, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2361 Issued in MN

Legal business name

ANDERSON CHIROPRACTIC CLINIC, P.A.

Practice address

38786 8TH Ave
North Branch, MN 55056-6696

Phone

(651) 674-8391

Fax

(651) 674-8391

NPI assigned

May 21, 2007

Last updated

Jul 17, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel G Anderson, DCNPI 1952489809

Title

Chiropractor

Phone

(651) 674-8391

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

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.

• Daniel George Anderson, DC

  • Chiropractor
  • North Branch, MN
  • NPI 1952489809
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1184832198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38786 8TH AVE",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550566696",
            "telephone_number": "651-674-8391",
            "fax_number": "651-674-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38786 8TH AVE",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550566696",
            "telephone_number": "651-674-8391",
            "fax_number": "651-674-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON CHIROPRACTIC CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "651-674-8391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269827700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 6460 Dental, PA (North Branch Dental)
• A New Dawn Consulting, LLC
• A New Dawn Mental Health Inc
• Theodore Theodore Allison, RPH
• Daniel George Anderson, DC
• Nicole Anderson
• Geoffrey David Archibald, D.D.S.
• Cynthia Artz, BS, LADC
• Jennifer Barie

• Chiropractor in North Branch, MN
• Providers in North Branch, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.