Alan H. Anderson, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

142218 Issued in UT

Practice address

1758 W 4805 S
Salt Lake City, UT 84118-1177

Phone

(801) 964-6699

Fax

(801) 964-1347

NPI assigned

Apr 11, 2007

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174746697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7931 SHAGGY MOUNTAIN RD",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840653676",
            "telephone_number": "801-446-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1758 W 4805 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841181177",
            "telephone_number": "801-964-6699",
            "fax_number": "801-964-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ALAN",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "142218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marysa Chieko Anderson-Cardwell, MS, RDN, LD
• Sylvia Kay Anderson-Conn, LCSW
• Abby Anderson, CPNP
• Abigail Anderson, LCSW
• Aksel Eric Anderson
• Alexandria Anderson
• Alexia Anderson
• Allison J Anderson
• Allissa Anderson
• Amber Anderson

• Dentist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Dentist in Utah

• 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.