Individual provider Active NPI

Seth Erik Anderson, DC

  • Chiropractor
  • Cottage Grove, WI
National Provider Identifier
1598068314
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4677 Issued in WI
Practice address
204 W Cottage Grove Rd
Cottage Grove, WI 53527-9211
Phone
(608) 839-1172
Fax
(608) 839-1174
NPI assigned
Dec 16, 2010
Last updated
Apr 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4677 WI Primary
Chiropractor 111N00000X 038011805 IL

Addresses

Primary practice location

204 W Cottage Grove Rd
Cottage Grove, WI 53527-9211

Mailing address

105 Clarmar Dr
Sun Prairie, WI 53590-2675
Phone (608) 318-5929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230629001028 WI Practitioner - Chiropractic 1759564495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luedtke-Storm-Mackey Chiropractic Clinic, SCGroup PAC ID 6204737240, 33 clinicians

Practice addresses (Care Compare)

204 W Cottage Grove Rd
Cottage Grove, WI 53527-9211
Phone (608) 839-1172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038011805ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Knecht Chiropractic Clinic, P.C. Chiropractor CurrentSince Dec 16, 2010 Accepting new patients
Luedtke-Storm-Mackey Chiropractic Clinic SC Chiropractor CurrentSince May 15, 2023 Accepting new patients

Locations

204 W Cottage Grove Rd
Cottage Grove, WI 53527
Phone (608) 291-0614

978 Park St
Oregon, WI 53575
Phone (608) 291-0614

105 Clarmar Dr
Sun Prairie, WI 53590
Phone (608) 316-6972

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1598068314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CLARMAR DR",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535902675",
            "telephone_number": "608-318-5929",
            "fax_number": "608-318-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W COTTAGE GROVE RD",
            "city": "COTTAGE GROVE",
            "state": "WI",
            "postal_code": "535279211",
            "telephone_number": "608-839-1172",
            "fax_number": "608-839-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SETH",
        "middle_name": "ERIK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-16",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4677",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011805",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottage Grove, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.