Active NPI
Joseph Anderson
- Other Technician
- Flushing, MI
National Provider Identifier
1164975314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 8587 Tim Tam TRL
Flushing, MI 48433-8805 - Phone
- (810) 247-2415
- NPI assigned
- Jul 24, 2016
- Last updated
- Jul 24, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
8587 Tim Tam TRL
Flushing, MI 48433-8805
Mailing address
8587 Tim Tam TRL
Flushing, MI 48433-8805
Phone (810) 247-2415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469318400000",
"number": "1164975314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8587 TIM TAM TRL",
"city": "FLUSHING",
"state": "MI",
"postal_code": "484338805",
"telephone_number": "810-247-2415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8587 TIM TAM TRL",
"city": "FLUSHING",
"state": "MI",
"postal_code": "484338805",
"telephone_number": "810-247-2415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-24",
"last_updated": "2016-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, MI
- Issa Alqazaha, PHARMD
- American Dental Care Lab LLC (True American Care LLC)
- Caleigh Amman
- Lisa Anderson-Carpentier, D.D.S.
- Carmelo Anthony Anderson
- Mark Anderson, D.D.S.
- Sharon Anderson
- Annuit Coeptis & Associates Inc (Active Adult Day Health)
- Annuit Coeptis & Associates Inc (Active Adult Day Health)
- Annuit Coeptis & Associates Inc (Active Adult Day Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.