Angela Theodora Anderson, D.D.S.,M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

044932 Issued in NY

Practice address

45 W 54TH St
Suite #1E
New York, NY 10019-5404

Phone

(212) 724-8400

Fax

(212) 945-6219

NPI assigned

May 26, 2007

Sex

Female

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1180137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1235340472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 RECTOR PL",
            "address_2": "#5J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "102801416",
            "telephone_number": "212-724-8400",
            "fax_number": "212-945-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 W 54TH ST",
            "address_2": "SUITE #1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100195404",
            "telephone_number": "212-724-8400",
            "fax_number": "212-945-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ANGELA",
        "middle_name": "THEODORA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-26",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "044932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Agnes Anderson-Reyes, ANP-BC
• Marta Anderson-Winchell
• Aaron Anderson, PT, DPT
• Alexandra Oksana Anderson, RDN
• Alyse Anderson
• Angelique Anderson, M.D.
• Anna-Olivia Anderson
• Ariel M Anderson, MD
• Ashley Anderson, LMSW, CASAC
• Ashley Laine Anderson, FNP

• Orthodontics and Dentofacial Orthopedics Dentistry in New York, NY
• Providers in New York, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.