Brian Richard Anderson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9787 Issued in MN

Practice address

135 2ND Ave SE
Cambridge, MN 55008-1602

Phone

(763) 689-1161

Fax

(763) 552-1905

NPI assigned

May 1, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114148939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 2ND AVE SE",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081602",
            "telephone_number": "763-689-1161",
            "fax_number": "763-552-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 2ND AVE SE",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081602",
            "telephone_number": "763-689-1161",
            "fax_number": "763-552-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "BRIAN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "9787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allina Health System (Allina Health Urgent Care - Cambridge)
• Allina Health System (Cambridge Medical Center CRNA)
• Allison Wiste Webb, Licsw PLLC
• Jennifer Marie Andersen, LPCC
• Billie Jo Lynn Anderson, RN
• Kelsey Jeanne Anderson
• Greg Alan Andrle, DO
• Christy Sue Armstrong, CRNA
• Jennifer Asanovich, LPC
• Audiology Concepts, LLC

• General Practice Dentistry in Cambridge, MN
• Providers in Cambridge, MN by specialty
• General Practice Dentistry in Minnesota

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.