Healthsource of Minnetonka LLC
NPI 1164899795 · Chiropractor · Minnetonka, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Healthsource of Minnetonka LLC is a Chiropractor organization in Minnetonka, MN (NPI 1164899795).
Provider details
- NPI number
- 1164899795
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Derek Anderson, Owner(952) 746-1506
- License
- 5624 (MN)
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-08-31
- Last updated
- 2015-08-31
Frequently asked questions
- What is Healthsource of Minnetonka LLC's NPI number?
- Healthsource of Minnetonka LLC's National Provider Identifier (NPI) is 1164899795, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Healthsource of Minnetonka LLC?
- Healthsource of Minnetonka LLC is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Healthsource of Minnetonka LLC located?
- Healthsource of Minnetonka LLC's practice location on file with NPPES is 14413 Excelsior Blvd, Minnetonka, MN 55345-5821.
- What is Healthsource of Minnetonka LLC's phone number?
- The practice phone number listed in the NPPES registry for Healthsource of Minnetonka LLC is (952) 746-1506.
- Does Healthsource of Minnetonka LLC accept Medicare?
- Healthsource of Minnetonka LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Healthsource of Minnetonka LLC?
- The authorized official listed on Healthsource of Minnetonka LLC's NPPES record is Derek Anderson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Healthsource of Minnetonka LLC's NPI active?
- Yes — Healthsource of Minnetonka LLC's NPI (1164899795) is active in the NPPES registry as of the last update on 2015-08-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.