Tonya M Anderson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DS0000006961 Issued in TN

Practice address

3719 Riverdale Rd
Memphis, TN 38115-5322

Phone

(901) 365-2000

Fax

(901) 365-2626

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Image Family Dentistry M

  • Non-Pharmacy Dispensing Site
  • Memphis, TN
  • NPI 1538242862
  NPD
• New Image Family Dentistry R

  • Non-Pharmacy Dispensing Site
  • Memphis, TN
  • NPI 1053495697
  NPD

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1144234261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 RIVERDALE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381155322",
            "telephone_number": "901-365-2000",
            "fax_number": "901-365-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 RIVERDALE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381155322",
            "telephone_number": "901-365-2000",
            "fax_number": "901-365-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "TONYA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS0000006961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER-UNITED CONCORDIA",
            "identifier": "1453674",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER BCBS",
            "identifier": "4074188",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Evans Anderson, PTA
• Sylvia A Anderson
• Tachika Anderson, LMSW
• Takeisha Christa Anderson, COTA
• Teresa Anne Anderson, PTA
• Vera Jean Anderson
• Zachary Stephen Anderson, DO
• Judy Gail Andreoli, M.S., NCC
• Benjamin Lau Andrews, M.D.
• Brad Andrews, PT, DPT

• Dentist in Memphis, TN
• Providers in Memphis, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.