Organization Active NPI

Charles R. Anderegg, Jr., DDS

  • Dentist
  • Bellevue, WA
National Provider Identifier
1053764589
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6833 Issued in WA
Legal business name
CHARLES R. ANDEREGG, JR., DDS
Practice address
14655 Bel Red Rd
202
Bellevue, WA 98007-3900
Phone
(425) 747-7007
Fax
(425) 747-7342
NPI assigned
Jul 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Authorized official

Name
Dr. Charles AndereggNPI 1942397435
Title
Office Manager
Phone
(425) 747-7007

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6833 WA Primary

Addresses

Primary practice location

14655 Bel Red Rd
202
Bellevue, WA 98007-3900

Mailing address

14655 Bel Red Rd
202
Bellevue, WA 98007-3900
Phone (425) 747-7007

National Provider Directory

National Provider Directory

Locations

14655 NE Bel Red Rd
Ste 202
Bellevue, WA 98007
Phone (425) 747-7007

Practitioners & affiliated clinicians

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": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1053764589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14655 BEL RED RD",
            "address_2": "202",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073900",
            "telephone_number": "425-747-7007",
            "fax_number": "425-747-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14655 BEL RED RD",
            "address_2": "202",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073900",
            "telephone_number": "425-747-7007",
            "fax_number": "425-747-7342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES R. ANDEREGG, JR., DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "ANDEREGG",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "425-747-7007",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "6833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.