Jadean Anderson P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

JADEAN ANDERSON P.C.

Practice address

4132 30TH Ave S
Suite #102
Fargo, ND 58104-8407

Phone

(701) 241-7737

Fax

(701) 241-7738

NPI assigned

Aug 7, 2007

Last updated

Oct 3, 2007By 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

Mr. Jadean Jake Anderson, D.C.NPI 1871790832

Title

President

Phone

(701) 241-7737

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

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.

• Jadean Jake Anderson, DC

  • Chiropractor
  • Fargo, ND
  • NPI 1871790832
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1427249101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 30TH AVE S",
            "address_2": "SUITE #102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048407",
            "telephone_number": "701-241-7737",
            "fax_number": "701-241-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4132 30TH AVE S",
            "address_2": "SUITE #102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048407",
            "telephone_number": "701-241-7737",
            "fax_number": "701-241-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADEAN ANDERSON P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JADEAN",
        "authorized_official_middle_name": "JAKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-241-7737",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ND",
            "identifier": "AND28655",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Jacobson, MD
• Tyler Douglas Jacobson
• Matthew Jacques, PT, DPT
• Atef Jadaan, M.D.
• Jade Mental Health Clinic, PLLC
• Jadestone Therapies PLLC
• Abbigail Jaeger
• Joshua Nathan Jaeger, D.C.
• Tara Marie Jaeger, PT, DPT, ATC
• Ahmed Jaffal

• Chiropractor in Fargo, ND
• Providers in Fargo, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.