Anderson Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1145 Issued in SD

Legal business name

ANDERSON CHIROPRACTIC LLC

Practice address

223 6TH St
Suite 4
Brookings, SD 57006-1406

Phone

(605) 692-6004

Fax

(605) 692-6003

NPI assigned

May 13, 2014

Last updated

May 13, 2014By 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

Dr. Grant Michael Anderson, DC

Title

Owner

Phone

(605) 692-6004

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1609287630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 6TH ST",
            "address_2": "SUITE 4",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570061406",
            "telephone_number": "605-692-6004",
            "fax_number": "605-692-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 6TH ST",
            "address_2": "SUITE 4",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570061406",
            "telephone_number": "605-692-6004",
            "fax_number": "605-692-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-692-6004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005696",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Sterud, LLC
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• Alternative Health Centers of Brookings (Johnson Chiropractic Clinic of Brookings)
• Robyn Marie Amiotte, MS
• Brenda Fern Andersen, C.N.P.
• Grant Michael Anderson, D.C.
• Jennifer Anderson
• Kaitlyn Marie Anderson, LAC
• Nicole Anderson, ED.S
• Andrea L. Uckert, LLC

• Chiropractor in Brookings, SD
• Providers in Brookings, SD by specialty
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.