Organization Active NPI

Greg a. Anderson, DDS,PC

  • Dental Clinic/Center
  • Williston, ND
National Provider Identifier
1093171977
Registry record updated Jan 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GREG A. ANDERSON, DDS,PC
Practice address
501 Main St
Suite 4
Williston, ND 58801-5327
Phone
(701) 577-2261
Fax
(701) 577-0737
NPI assigned
Jan 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2016

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

Authorized official

Name
Gregory A. Anderson, DDSNPI 1730253428
Title
President
Phone
(701) 577-2261

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

501 Main St
Suite 4
Williston, ND 58801-5327

Mailing address

PO Box 1127
Williston, ND 58802-1127
Phone (701) 577-2261

National Provider Directory

National Provider Directory

Locations

501 Main St
Ste 4
Williston, ND 58801
Phone (701) 577-1000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452211200000",
    "number": "1093171977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1127",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588021127",
            "telephone_number": "701-577-2261",
            "fax_number": "701-577-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MAIN ST",
            "address_2": "SUITE 4",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588015327",
            "telephone_number": "701-577-2261",
            "fax_number": "701-577-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREG A. ANDERSON, DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-08",
        "last_updated": "2016-01-08",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-577-2261",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.