NPIMap

Organization Active NPI

Mark Anderson, DDS, PC

  • Dentist
  • Flushing, MI
National Provider Identifier
1174869978
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MARK ANDERSON, DDS, PC
Practice address
6011 W Pierson Rd
Flushing, MI 48433-2334
Phone
(810) 733-5566
NPI assigned
Dec 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Authorized official

Name
Lisa Anderson-CarpentierNPI 1033479985
Title
Dentist
Phone
(810) 733-5566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

6011 W Pierson Rd
Flushing, MI 48433-2334

Mailing address

6011 W Pierson Rd
Flushing, MI 48433-2334

National Provider Directory

National Provider Directory

Locations

6011 W Pierson Rd
Flushing, MI 48433
Phone (810) 733-5566

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1174869978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 W PIERSON RD",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 W PIERSON RD",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332334",
            "telephone_number": "810-733-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK ANDERSON, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-26",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "ANDERSON-CARPENTIER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "810-733-5566"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.