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JIMMY G. ANDERSON, D.C.
NPI 1043217433
Chiropractor in Lake Elmo, MN

Active since June 30, 2005
3394 LAKE ELMO AVENUE, LAKE ELMO, MN 55042(651) 777-9757(651) 777-9757 Get Directions Write a Review

NPPES record last updated: February 6, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jimmy G. Anderson, D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JIMMY G. ANDERSON, D.C. (NPI 1043217433) is a healthcare organization registered as a chiropractor in Lake Elmo, Minnesota and active in the NPI registry since June 2005. The organization lists Jimmy G Anderson, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1043217433
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameJIMMY G. ANDERSON, D.C.
Location Address3394 LAKE ELMO AVENUELake Elmo, MN 55042-0831
Mailing AddressBox 831, 3394 Lake Elmo Avenue NorthLake Elmo, MN 55042-0831 · (651) 777-9757 · Fax (651) 777-9757
Phone(651) 777-9757
Fax(651) 777-9757
Organization SubpartNo
Authorized OfficialJimmy G AndersonOwner/president · (651) 777-9757
Enumeration DateJune 30, 2005
Last NPPES UpdateFebruary 6, 2013
✔ NPI 1043217433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in MN · 1217✔ Licensed in KY · 3048
Definition
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.
3394 LAKE ELMO AVENUE, Lake Elmo, MN 55042
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Other Identifiers 5

Other20135ANMN · Bcbs
OtherON362ANMN · Bcbs
Medicare ID-Type UnspecifiedC04233
Medicaid766225400MN
Medicare ID-Type Unspecified350002316

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jimmy G. Anderson, D.C.'s NPI number?

The NPI number for Jimmy G. Anderson, D.C. is 1043217433. It was assigned to this organization in the NPPES registry on June 30, 2005.

Where is Jimmy G. Anderson, D.C. located?

Jimmy G. Anderson, D.C. is located at 3394 Lake Elmo Avenue, Lake Elmo, MN 55042. The listed phone number is (651) 777-9757.

What is Jimmy G. Anderson, D.C.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Jimmy G. Anderson, D.C. was last updated on February 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.