Dr. Kendall Anderson, P.C.
Clinic/Center in Rapid City, SD. Organization (NPI-2).
NPI number1497920193
StatusActive
Last updated in NPPESApr 24, 2008
Details
- NPI
- 1497920193
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr. Kendall Anderson, P.C.
- Organization subpart
- No
- Enumeration date
- Apr 24, 2008
- Last updated
- Apr 24, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 695 | SD | Yes |
Other names
- Anderson Chiropractic (Doing Business As)
Practice location
3618 Canyon Lake DriveSuite 114
Rapid City, SD 57702-3129
Phone 605-342-7110
Mailing address
3618 Canyon Lake DriveSuite 114
Rapid City, SD 57702-3129
Phone 605-342-7110
Authorized official
Kendall Duane Anderson
President
6053427110
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