Anchor Chiropractic PC
Organization Active NPI Chiropractor · Rogers, MN
NPI 1255817839 · NPPES record last updated Jul 17, 2018
Key facts
- NPI
- 1255817839
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4941 (MN)
- Legal business name
- ANCHOR CHIROPRACTIC PC
- Practice address
- 20965 S Diamond Lake Rd Ste 108
Rogers, MN 55374-4821 - Phone
- (763) 424-5511
- Fax
- (763) 424-3255
- NPI assigned
- Jul 17, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. Seth Shannon Richter, D.C.
- Title
- Owner/Chiropractor
- Phone
- (763) 424-5511
Practitioners 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180905002260 | MN | Part B Supplier - Clinic/Group Practice | 2365792736 |
Receives reassigned benefits from 1 practitioner Practice locations: Rogers, MN |
National Provider Directory
Locations
20965 S Diamond Lake Rd
Ste 108
Rogers, MN 55374
Phone (763) 424-5511
20965 S Diamond Lake Rd
#R
Rogers, MN 55374
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 4941 | MN | Yes |
Addresses
Primary practice location
20965 S Diamond Lake Rd Ste 108
Rogers, MN 55374-4821
Mailing address
20965 S Diamond Lake Rd Ste 108
Rogers, MN 55374-4821
Phone (763) 424-5511
Other names
- Anchor Chiropractic
Other providers in Rogers, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.