Marc David Anderson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5280 Issued in MN

Practice address

161 19TH St S
Suite #101
Sartell, MN 56377-2153

Phone

(320) 257-0360

NPI assigned

Sep 14, 2009

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jon M Anderson DC, LTD

  • Chiropractor
  • Sartell, MN
  • NPI 1962400275
  Medicare reassignment Care Compare group NPD

Specialty

Chiropractic

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jon M Anderson DC LTD 3 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 5, 2019.

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1275866865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 19TH ST S",
            "address_2": "SUITE #101",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772153",
            "telephone_number": "320-257-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 19TH ST S",
            "address_2": "SUITE #101",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772153",
            "telephone_number": "320-257-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MARC",
        "middle_name": "DAVID",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-14",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "886",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolette Anderson Allen
• Christi Elizabeth Alvord, NP
• Ashley Lynn Anderson, MSW, LICSW
• Jon Myren Anderson, D.C.
• Katelin Anderson, DPT
• Nathaniel Gary Anderson
• Sarah Dianne Anderson
• Roberto K Ang, M.D.
• Crystal Anthony, MS, LPCC
• Juliana M Arana-Santiago

• All providers in Sartell, MN
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.