Dr. Kendall Anderson, P.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

695 Issued in SD

Legal business name

DR. KENDALL ANDERSON, P.C.

Practice address

3618 Canyon Lake Drive
Suite 114
Rapid City, SD 57702-3129

Phone

(605) 342-7110

NPI assigned

Apr 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kendall Duane Anderson, D.C.NPI 1700914355

Title

President

Phone

(605) 342-7110

Specialties & licenses 1

Addresses

Other names 1

• Anderson Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kendall Duane Anderson, D.C.

  • Chiropractor
  • Rapid City, SD
  • NPI 1700914355
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1497920193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 CANYON LAKE DRIVE",
            "address_2": "SUITE 114",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023129",
            "telephone_number": "605-342-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3618 CANYON LAKE DRIVE",
            "address_2": "SUITE 114",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023129",
            "telephone_number": "605-342-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KENDALL ANDERSON, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-342-7110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "SD",
            "license": "695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cheryl Dornbush, PT
• Kristin Dorwart-Marsh, OT
• Mahala Faith Douglas
• Anthony Robert Downs, M.D.
• Anthony Doyon, D.P.M.
• Dr. Randall L. Edwards
• Dr.Jackiegilbertsonllc
• Dr.Tom Ries LLC
• Amy Nicole Dragoo, OTD
• Trudy Agnes Draskovic

• Clinic/Center in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Clinic/Center in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.