Joshua Anderberg, D.C.
Individual provider Active NPI Chiropractor · Hugo, MN
NPI 1710158720 · NPPES record last updated Mar 18, 2008
Key facts
- NPI
- 1710158720
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4656 (MN)
- Practice address
- 14665 Mercantile Dr N
Suite 100
Hugo, MN 55038-4559 - Phone
- (651) 204-5533
- NPI assigned
- Mar 18, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14665 Mercantile Dr N
Suite 100
Hugo, MN 55038-4559
Phone (651) 204-5533
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051116000738 | MN | Practitioner - Chiropractic | 6305865551 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4656 | MN | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Chiropractic Specialists, P.a. | Chiropractor | Current |
Accepting new patients |
Locations
14665 Mercantile Dr N
#100
Hugo, MN 55038
Phone (651) 204-5533
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4656 | MN | Yes |
Addresses
Primary practice location
14665 Mercantile Dr N
Suite 100
Hugo, MN 55038-4559
Mailing address
14665 Mercantile Dr N
Suite 100
Hugo, MN 55038-4559
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CO4119 | Other | MN | MEDICARE GROUP |
Other providers in Hugo, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.