C. J. Anderson Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

52822 Issued in CA

Legal business name

C. J. ANDERSON DENTAL CORPORATION

Practice address

7741 N 1St St
Fresno, CA 93720-0962

Phone

(559) 261-2339

Fax

(559) 261-9895

NPI assigned

Jun 5, 2015

Organization subpart

Yes

Parent organization

C. J. ANDERSON DENTAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Chad Jason Anderson, DMD

Title

Owner

Phone

(559) 434-1096

Specialties & licenses 1

Addresses

Part of

C J Anderson Dental Corporation

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1063892966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7741 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200962",
            "telephone_number": "559-261-2339",
            "fax_number": "559-261-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7741 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200962",
            "telephone_number": "559-261-2339",
            "fax_number": "559-261-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. J. ANDERSON DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "C. J. ANDERSON DENTAL CORPORATION",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-434-1096",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "52822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Fresno, CA
• Providers in Fresno, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.