Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1245332816 Deactivated / Inactive NPI Male Practitioner

Dr. Kenneth Grady Andersen , DC

Chiropractor • Bakersfield, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kenneth Andersen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 02, 2006
NPI Deactivation Date September 08, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Andersen, DC was a registered Chiropractor practicing in Bakersfield, CA. Throughout an active medical career spanning 15 years, Dr. Andersen provided care at the practice location at 1030 H ST until profile deactivation on 2021-09-08.

Practice Location & Contact Primary Location

Practice Address

1030 H St
Suite 2

Bakersfield, CA 933041314

Telephone 6613232086
Fax 6613232676

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Bakersfield, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.2 Yrs
State Avg: 27.5 Yrs
Regional Practice Density
94 Specialists

Practicing in Bakersfield, CA (12100 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License CA 15857

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Roger Sandoval , DDS

Dentist - General Practice

NPI 1194870196

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 08, 2021

Record deactivated on September 08, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1030 H ST, SUITE 2, BAKERSFIELD, CA 933041314 (Tel: 6613232086)

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Updated Business Mailing Address July 08, 2007

Registered at 1030 H ST, SUITE 2, BAKERSFIELD, CA 933041314 (Tel: 6613232086)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH ANDERSEN, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #15857 in CA)

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Initial NPI Registration & Enumeration September 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245332816
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 02, 2006
Last Update: July 08, 2007
Deactivation Date: September 08, 2021

Mailing Address

1030 H St, Suite 2

Bakersfield, CA 933041314

Phone: 6613232086

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.