DR. JIMMY G ANDERSON DC
NPI 1942369871
Chiropractor in Lake Elmo, MN

Active since December 06, 2006
3394 LAKE ELMO AVENUE NORTH, BOX 831, LAKE ELMO, MN 55042(651) 777-9757(651) 777-9757 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jimmy G Anderson Dc NPPES

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

DR. JIMMY G ANDERSON DC (NPI 1942369871) is an individual chiropractor in Lake Elmo, Minnesota, licensed in Minnesota (1217) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1942369871
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JIMMY G ANDERSONCredential: DC
Location Address3394 LAKE ELMO AVENUE NORTH, BOX 831Lake Elmo, MN 55042-0831
Mailing Address3394 Lake Elmo Avenue North, Box 831Lake Elmo, MN 55042-0831 · (651) 777-9757 · Fax (651) 777-9757
Fax(651) 777-9757
Sole ProprietorNo
Enumeration DateDecember 6, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1942369871 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 NORTH, Lake Elmo, MN 55042

Other Identifiers 1

Other0N362ANMN · Blue Cross Blue Shield

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 Anderson's NPI number?

The NPI number for Jimmy Anderson is 1942369871. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Jimmy Anderson located?

Jimmy Anderson practices at 3394 Lake Elmo Avenue North Box 831, Lake Elmo, MN 55042. The listed phone number is (651) 777-9757.

What is Jimmy Anderson'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 Anderson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.