DEREK STEVEN ANDERSON (NPI# 1770884546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770884546 |
| Entity Type | Individual |
| Full Name | DEREK STEVEN ANDERSON |
| Credential | D.C. |
| Practice Address |
14413 Excelsior Blvd Minnetonka MN 55345-5821 |
| Practice Telephone | 9527461506 |
| Practice Fax Number | 9527461508 |
| Mailing Telephone | 9527461506 |
| Mailing Fax Number | 9527461508 |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2012-05-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 31664 | CA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326659798 | Derek Miles Anderson | Nurse Practitioner | 545 Woodward Dr, Fayetteville, GA 30215-7641 | 2020-08-11 |
| 1619476314 | Derek Joshua Anderson | Physical Therapist | 3515 Fannin St Ste 101, Beaumont, TX 77701-3810 | 2018-02-08 |
| 1023558434 | Derek Anderson | Specialist/Technologist | 1227 E Hillcourt, Williston, ND 58801-4454 | 2017-03-03 |
| 1821069485 | Derek W Anderson | Anesthesiology | 617 E 3900 S, Salt Lake City, UT 84107-1901 | 2006-01-31 |
| 1477181006 | Derek Anderson | Community Health Worker | 120 W Main St, Mesquite, TX 75149-4264 | 2020-03-30 |
| 1497297634 | Derek Anderson | Nutritionist | 6600 Van Aalst Blvd, Building 9250, Fort Benning, GA 31905 | 2016-11-04 |
| 1003364928 | Derek Ryan Anderson | Psychologist | 9600 Veterans Dr Sw, Rehabilitation Care Service (a-117-rcs), Tacoma, WA 98493-0003 | 2016-09-20 |
| 1972976959 | Derek Anderson | Case Manager/Care Coordinator | 111 North St, Rapid City, SD 57701-1163 | 2015-11-12 |
| 1255491635 | Derek Nathan Anderson | Family Medicine | 1105 Portland Ave, Suite 2, Gladstone, OR 97027-2170 | 2006-12-08 |
| 1568468171 | Derek James Anderson | Family Medicine | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2005-06-28 |
| Street Address |
14413 EXCELSIOR BLVD |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55345-5821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083129514 | Tyler Riesgraf | Chiropractor | 14413 Excelsior Blvd, Minnetonka, MN 55345-5821 | 2017-12-06 |
| 1164899795 | Healthsource of Minnetonka LLC | Chiropractor | 14413 Excelsior Blvd, Minnetonka, MN 55345-5821 | 2015-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417587205 | Pain Partners LLC | Pharmacist | 15225 Wild Wings Court, Minnetonka, MN 55345 | 2020-01-21 |
| 1356811608 | Caitlin Marie Peterson | Specialist/Technologist | 15708 Wood Knoll Lane, Minnetonka, MN 55345 | 2018-11-29 |
| 1649747007 | West Side Counseling LLC | Community/Behavioral Health | 10520 Wayzata Blvd., Suite 100, Minnetonka, MN 55345 | 2018-10-24 |
| 1689173247 | Theresa Tsuchiya | Psychologist | Relate, Inc., 5125 County Road 101, Suite 300, Minnetonka, MN 55345 | 2018-02-08 |
| 1497264147 | Minnetonka Assisted Living and Hospice | Community Health Worker | 14667 Lake Street Extension, Minnetonka, MN 55345 | 2017-09-26 |
| 1619494671 | Shree Revenue Management | Durable Medical Equipment & Medical Supplies | 6117, Creek Ridge Ct, Minnetonka, MN 55345 | 2017-08-29 |
| 1538606876 | Stefani Yanizeski | Speech-Language Pathologist | Minnesota Autism Center, 5710 Baker Road, Minnetonka, MN 55345 | 2017-01-25 |
| 1790157469 | Greg Anderson | Psychologist | 5125 County Road 101, #300, Relate, Inc., Minnetonka, MN 55345 | 2015-10-21 |
| 1861896375 | Kristine L Smith | Marriage & Family Therapist | 5125 County Road 101 Suite 300, Minnetonka, MN 55345 | 2014-10-13 |
| 1982014460 | Miranda Jean Johnson | Speech-Language Pathologist | 15265 Minnetonka Blvd., Minnetonka, MN 55345 | 2014-05-06 |
| Find all providers in zip 55345 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235694555 | Steven Jeffrey Scarfia | Chiropractor | 4739 Highway 101, Minnetonka, MN 55345-2634 | 2019-02-01 |
| 1417462631 | Kyle Anthony Leduc | Chiropractor | 5101 Thimsen Ave Ste 106, Minnetonka, MN 55345-4153 | 2017-12-11 |
| 1699213819 | Daniel Bielefeld | Chiropractor | 5900 Baker Rd, Suite 200, Minnetonka, MN 55345-6055 | 2017-02-08 |
| 1518405943 | Mark Gjengdahl | Chiropractor | 3613 Robin Ln, Minnetonka, MN 55305-5530 | 2017-02-06 |
| 1700272143 | Kayla Christine Baldwin | Chiropractor | 12455 Ridgedale Dr Ste 203, Minnetonka, MN 55305-1786 | 2015-04-13 |
| 1639570252 | Joshua Fearn | Chiropractor | 4919 County Road 101, Minnetonka, MN 55345-2638 | 2014-09-15 |
| 1982943320 | Pw Clinics Pllc | Chiropractor | 10653 Wayzata Blvd, Suite 200, Minnetonka, MN 55305-1528 | 2013-02-05 |
| 1164714523 | Jeremiah Ryan Schmoe | Chiropractor | 13911 Ridgedale Dr Ste 490, Minnetonka, MN 55305-1772 | 2011-05-04 |
| 1306156195 | Christine Ann Fischer | Chiropractor | 3454 County Road 101, Minnetonka, MN 55345-1016 | 2010-10-14 |
| 1194037689 | Murphy Chiropractic Clinic P.a. | Chiropractor | 11500 Highway 7 Ste 201, Minnetonka, MN 55305-5107 | 2010-07-13 |
| Find all providers in MINNETONKA | ||||
| City | MINNETONKA |
| Zip Code | 55345 |
Please comment or provide details below to improve the information on DEREK STEVEN ANDERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.