Gerald Amos Anderson II, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4485 Issued in AL

Practice address

730 Selma Ave
Selma, AL 36701-4648

Phone

(334) 875-7031

NPI assigned

Jul 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073537973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 SELMA AVE",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367014648",
            "telephone_number": "334-875-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 SELMA AVE",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367014648",
            "telephone_number": "334-875-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "GERALD",
        "middle_name": "AMOS",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alpha Home Medical LLC
• Jamie Alvey, LCSW, PIP
• Amedisys Alabama, LLC (Amedisys Home Health of Selma)
• Terrika Anderson-Cook, NP
• Anna Kirstin Anderson, CRNP
• Arabella Health & Wellness of Selma Opco LLC (Arabella Health & Wellness of Selma)
• Darien Hull Arrington, CRNA
• Samer Assaad, M.D.
• Andrea Austin
• Joseph Autery

• General Practice Dentistry in Selma, AL
• Providers in Selma, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.