Clayton Howard Anderson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6474 Issued in MN

Practice address

1300 Vermillion St Ste 3
Hastings, MN 55033-2862

Phone

(715) 338-7507

NPI assigned

Jan 30, 2018

Last updated

Jan 30, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Vermillion Street Chiropractic LLC

  • Chiropractor
  • Hastings, MN
  • NPI 1932601895
  NPD (past) Authorized official

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1407354996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 CONCORD BLVD",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550761803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 VERMILLION ST STE 3",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550332862",
            "telephone_number": "715-338-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CLAYTON",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allina Health System (Allina Health Regina Hospital)
• Allina Health System (UHC MD Hospitalist)
• Allina Health System (Regina Specialty Services)
• Allina Health System (Allina Health Urgent Care - Hastings)
• Allina Health System (Allina Health Cancer Institute Hastings)
• Kaitlyn Amalia Anderson
• Laura R Anderson, LADC
• Trent M Anderson, DDS
• Troy Anderson, PHARM. D
• Samantha Angerman, PHARMD

• Chiropractor in Hastings, MN
• Providers in Hastings, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.