David Lowell Anderson, DC
Individual provider Active NPI Chiropractor · Savage, MN
NPI 1346913258 · NPPES record last updated Jul 27, 2021
Key facts
- NPI
- 1346913258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 6822 (MN)
- Practice address
- 4401 Egan Dr
Savage, MN 55378-2024 - Phone
- (952) 746-4162
- Fax
- (952) 808-3112
- NPI assigned
- Jul 27, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Great Lakes Chiropractic of St Michael PLLC LTD
Practice addresses (Care Compare)
116 Central Ave E
Saint Michael, MN 55376-9511
Phone (763) 515-6650
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210817000342 | MN | Practitioner - Chiropractic | 7618372582 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6822 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Lakes Chiropractic of St. Michael PLLC LTD | Chiropractor | Current |
Accepting new patients |
| Finish Line Wellness | Past |
Accepting new patients | |
| Finish Line Wellness Group LLC | Past |
Accepting new patients | |
| Great Lakes Chiropractic LLC | Chiropractor | Past | Accepting new patients |
Locations
116 Central Ave E
Saint Michael, MN 55376
Phone (763) 515-6650
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6822 | MN | Yes |
Addresses
Primary practice location
4401 Egan Dr
Savage, MN 55378-2024
Mailing address
4401 Egan Dr
Savage, MN 55378-2024
Phone (952) 746-4162
Other practice location 1
400 Wabasha St N Ste 390
Saint Paul, MN 55102-1147
Phone (651) 346-3848
Other providers in Savage, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2021. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.