Anderson Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

ANDERSON ORTHODONTICS

Practice address

302 Valley Green SQ
Le Sueur, MN 56058-1943

Phone

(507) 665-3394

Fax

(507) 665-4286

NPI assigned

Apr 1, 2008

Last updated

Apr 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jason A Anderson, DDS MSNPI 1891716445

Title

Orthodontist

Phone

(507) 665-3394

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason A Anderson, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Le Sueur, MN
  • NPI 1891716445
  NPD (past) Authorized official

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1184896938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17570 HACKBERRY CT",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553474271",
            "telephone_number": "952-486-7674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 VALLEY GREEN SQ",
            "city": "LE SUEUR",
            "state": "MN",
            "postal_code": "560581943",
            "telephone_number": "507-665-3394",
            "fax_number": "507-665-4286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "507-665-3394",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9178768",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aegis Group Practice LLC
• Jeffrey Henry Alto, MD
• Jason A Anderson, DDS
• Astrup Drug Inc (Corner Drug)
• Astrup Drug, Inc. (Corner Drug)
• Jason Berberich
• Bonnie Ann Berglund, MS CCC-SLP

• Orthodontics and Dentofacial Orthopedics Dentistry in Le Sueur, MN
• Providers in Le Sueur, MN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.