Damon Ashley Anderson, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

104929 Issued in CA

Practice address

25500 Rancho Niguel Rd Ste 260
Laguna Niguel, CA 92677-7306

Phone

(949) 643-3129

Fax

(949) 643-5259

NPI assigned

Aug 30, 2006

Last updated

Aug 9, 2022By 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

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Damon Anderson DDS, Inc.

  • Dental Clinic/Center
  • Laguna Niguel, CA
  • NPI 1689261935
  NPD Authorized official
• Lake Dental of Saratoga, PC

  • General Practice Dentistry
  • Saratoga Springs, NY
  • NPI 1801196134
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1144330143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 RANCHO NIGUEL RD STE 260",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926777306",
            "telephone_number": "949-643-3129",
            "fax_number": "949-643-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 RANCHO NIGUEL RD STE 260",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926777306",
            "telephone_number": "949-643-3129",
            "fax_number": "949-643-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DAMON",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "104929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03397748",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ameritrans Medical Transportation,Inc.
• Mona Amirkhani, PA-C
• Amanda Michelle Amundson
• Amy Soleta MD PC
• Amy Thi Vu OD Inc a Professional Corporation (Aliso Niguel Optometry)
• Fiona G Anderson, NP-C
• Iris A Anderson
• Joseph Humphrey Anderson, DDS
• Andrew Chacon MD a Medical Corporation
• Andrew R. McIntosh, M.D. Inc.

• Dentist in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.