KENNETH RAYMOND ANDERSEN (D.C.) – Chiropractor, NPI 1760483986

KENNETH RAYMOND ANDERSEN (D.C.) is a healthcare provider. based in Sandy, Utah. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 49216121202 (UT). The NPI Number for KENNETH RAYMOND ANDERSEN (D.C.) is 1760483986

Main info

Male
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH RAYMOND ANDERSEN (D.C.)
NPI
1760483986
Phone
(801) 572-5696
Address
9035 S 1300 E
Enumeration Date
10 August 2005
Last Update Date
28 May 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8015725696
Graduation Year
2001 (25 years ago)
PAC ID
5294722716
Professional Enrollment ID
I20040601000916
Address ID
UT840946947SA1025X1140301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

319 CHIROPRACTIC in UT

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Provider Addresses for KENNETH RAYMOND ANDERSEN (D.C.)

  • 9035, 1300 East, Garth Warner, Sandy, Salt Lake County, Utah, 84094, United States

    SUITE 2B

    SANDY, UT 840943131

    Phone: (801) 572-5696

    Fax: (801) 572-5753

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-06-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040601000916IChiropracticUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions17518$0
View full utilization report →

Insurance plans in this area (ZIP 84094)

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Reviews

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Frequently asked questions

What NPI should I save for KENNETH RAYMOND ANDERSEN (D.C.)?
Save NPI 1760483986 if you need a stable reference for KENNETH RAYMOND ANDERSEN (D.C.).
Is KENNETH RAYMOND ANDERSEN (D.C.)'s NPI currently valid?
The extract we use shows KENNETH RAYMOND ANDERSEN (D.C.) as active.
Does KENNETH RAYMOND ANDERSEN (D.C.) list a primary specialty?
If you are matching referrals, note Chiropractor for KENNETH RAYMOND ANDERSEN (D.C.). Clinical services aligned with this taxonomy classification.
Where does public data place KENNETH RAYMOND ANDERSEN (D.C.)?
The snapshot lists Sandy, Utah for KENNETH RAYMOND ANDERSEN (D.C.); download NPPES for the complete set.
Is KENNETH RAYMOND ANDERSEN (D.C.) a real provider?
This page reflects official NPPES data for NPI 1760483986. Always confirm identity and privileges with the practice and licensing boards.

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