NPIMap

Organization Active NPI

Jimmie & Luanne Anderson, DDS, PA

  • General Practice Dentistry
  • Salisbury, NC
National Provider Identifier
1043363799
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6952 Issued in NC
Legal business name
JIMMIE & LUANNE ANDERSON, DDS, PA
Practice address
1819 E Innes St
Suite 2
Salisbury, NC 28146-6030
Phone
(704) 636-3611
Fax
(704) 636-3694
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Luanne Anderson, DDSNPI 1568588754
Title
Vice President
Phone
(704) 636-3611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 6952 NC Primary

Addresses

Primary practice location

1819 E Innes St
Suite 2
Salisbury, NC 28146-6030

Mailing address

1819 E Innes St
Suite 2
Salisbury, NC 28146-6030
Phone (704) 636-3611

Other names 1

  • Anderson Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

1819 E Innes St
Ste 2
Salisbury, NC 28146
Phone (704) 636-3611

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043363799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 E INNES ST",
            "address_2": "SUITE 2",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281466030",
            "telephone_number": "704-636-3611",
            "fax_number": "704-636-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 E INNES ST",
            "address_2": "SUITE 2",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281466030",
            "telephone_number": "704-636-3611",
            "fax_number": "704-636-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMMIE & LUANNE ANDERSON, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "LUANNE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "704-636-3611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.