Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Thomas Kervin Andersen II, DC

Individual provider Chiropractor · NPI 1114536869

Thomas Kervin Andersen II, DC is a Chiropractic in Raleigh, North Carolina. Qualified in 2020, 6 years ago. Practices with Crabtree Chiropractic Center, PA, a 3-clinician group. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2020
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

4517 Lead Mine Rd
Raleigh, NC 27612-3326
Phone: (919) 781-8830
Fax: (919) 781-1678
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 5191 (NC)

Record details

NPI number1114536869
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedJuly 29, 2020
Last updated in NPPESJuly 29, 2020
Certification dateJuly 29, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Crabtree Chiropractic Center, Pa — 3 clinicians
Accepts Medicare assignment Not indicated

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