Jeffrey P Anderson, D.C., D.A.B.C.I.
Individual provider Active NPI Internist Chiropractor · Edina, MN
NPI 1831233394 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1831233394
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internist Chiropractor 111NI0900X
- License
- 2468 (MN)
- Practice address
- 7001 Cahill Rd
Suite 23
Edina, MN 55439-2018 - Phone
- (952) 943-1170
- NPI assigned
- Feb 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1987
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7001 Cahill Rd
Edina, MN 55439-2018
Phone (952) 943-1170
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050606000601 | MN | Practitioner - Chiropractic | 7416990965 | Practice locations: Edina, MN |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2468 | MN | MD | Internist Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internist Chiropractor | 111NI0900X | 2468 | MN | Yes |
Addresses
Primary practice location
7001 Cahill Rd
Suite 23
Edina, MN 55439-2018
Mailing address
7001 Cahill Rd
Suite 23
Edina, MN 55439-2018
Phone (952) 943-1170
Other providers in Edina, MN
- Elizabeth Lauren Anderson
- Emmet Anderson
- Frederick James Anderson Jr.
- Jaimi L Anderson
- James Mitchell Anderson
- John Theodore Anderson
- Karen Lou Anderson
- Katie Maryl Anderson
- Kelly Lynn Anderson
- Kristie J Anderson
All providers in Edina, MN · Internist Chiropractor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.