Loren P Anderson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00009925 Issued in WA

Practice address

3911 W 27TH Ave Ste 105
Kennewick, WA 99337-2483

Phone

(509) 585-2500

Fax

(509) 585-2503

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anderson Dental

  • General Practice Dentistry
  • Kennewick, WA
  • NPI 1659625507

  General Practice

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1013000686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 W 27TH AVE STE 105",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993372483",
            "telephone_number": "509-585-2500",
            "fax_number": "509-585-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 W 27TH AVE STE 105",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993372483",
            "telephone_number": "509-585-2500",
            "fax_number": "509-585-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LOREN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5046263",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward D Anderson, PT
• H Pamela Anderson, ARNP
• Joshua R. Anderson, ARNP
• Linda A Anderson, MED
• Linnea Anderson
• Lori Lynn Anderson
• McKenzie Anderson
• Robert Dana Anderson, DC
• Sari Elaine Anderson, B.A.
• Trevor Scott Anderson, PT

• All providers in Kennewick, WA
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.