ETHAN LEE ANDERSEN DC
NPI 1063232031
Chiropractor in Spokane, WA

Active since October 15, 2024
9720 N NEVADA ST, SPOKANE, WA 99218(509) 464-2273(509) 242-1854 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ethan Lee Andersen Dc NPPES

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

ETHAN LEE ANDERSEN DC (NPI 1063232031) is an individual chiropractor in Spokane, Washington, licensed in Washington (CH61613395) and active in the NPI registry since October 2024. He maintains a secondary practice location in Spokane and is a graduate of Western States College Of Chiropractic (2024).

NPPES Registry Identity

NPI1063232031
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameETHAN LEE ANDERSENCredential: DC
Location Address9720 N NEVADA STSpokane, WA 99218-3412
Mailing Address9720 N Nevada StSpokane, WA 99218-3412 · (509) 464-2273 · Fax (509) 242-1854
Fax(509) 242-1854
Sole ProprietorNo
Medical School CMSWestern States College Of ChiropracticGraduated 2024
Enumeration DateOctober 15, 2024
Last NPPES UpdateJanuary 8, 2026
NPPES CertifiedJanuary 8, 2026
NPI 1063232031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in WA · CH61613395
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.
9720 N NEVADA ST, Spokane, WA 99218

Secondary Practice Location 1

Location 13809 N Monroe StSpokane, WA 99205-2853 · Phone (509) 326-3795 · Fax (509) 325-7418

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ethan Lee Andersen Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911425566
PECOS Enrollment IDI20250516002472

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
9720 N NEVADA ST
SPOKANE, WA 99218
Massage Therapist
9720 N NEVADA ST
SPOKANE, WA 99218
Massage Therapist
9720 N NEVADA ST
SPOKANE, WA 99218
Chiropractor
9720 N NEVADA ST
SPOKANE, WA 99218
Chiropractor
9720 N NEVADA ST
SPOKANE, WA 99218
Chiropractor
9720 N NEVADA ST
SPOKANE, WA 99218
Massage Therapist
9720 N NEVADA ST
SPOKANE, WA 99218
Massage Therapist
9720 N NEVADA ST
SPOKANE, WA 99218

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 Ethan Andersen's NPI number?

The NPI number for Ethan Andersen is 1063232031. It was assigned to this individual provider in the NPPES registry on October 15, 2024.

Where is Ethan Andersen located?

Ethan Andersen practices at 9720 N Nevada St, Spokane, WA 99218. The listed phone number is (509) 464-2273.

What is Ethan Andersen's specialty?

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

Is Ethan Andersen enrolled in Medicare?

Yes. Ethan Andersen is registered in the Medicare PECOS enrollment system.

What insurance does Ethan Andersen accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Ethan Andersen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ethan Andersen was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.