Healthsource of Minnetonka LLC
NPI 1164899795ActiveOrganization· Chiropractor· Minnetonka, MN
Chiropractor in Minnetonka, Minnesota, registered in NPPES in August 2015. The authorized official on file is Derek Anderson, DC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1164899795 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 31, 2015 |
| Last updated in NPPES | Aug 31, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 5624 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
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