Jeffrey P Anderson, D.C., D.A.B.C.I.

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

2468 Issued in MN

Practice address

7001 Cahill Rd
Suite 23
Edina, MN 55439-2018

Phone

(952) 943-1170

NPI assigned

Feb 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1987

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831233394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 CAHILL RD",
            "address_2": "SUITE 23",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392018",
            "telephone_number": "952-943-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 CAHILL RD",
            "address_2": "SUITE 23",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392018",
            "telephone_number": "952-943-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JEFFREY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.C., D.A.B.C.I.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "MN",
            "license": "2468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Lauren Anderson, LICSW
• Emmet Anderson
• Frederick James Anderson Jr., DO
• Jaimi L Anderson, CNP
• James Mitchell Anderson, D.C.
• John Theodore Anderson, M.D.
• Karen Lou Anderson, LICSW
• Katie Maryl Anderson, CNP
• Kelly Lynn Anderson, MASSAGE THERAPIST
• Kristie J Anderson, FNP

• Internist Chiropractor in Edina, MN
• Providers in Edina, MN by specialty
• Internist Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.