Dane M. Andersen, DDS, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

60555443 Issued in WA

Legal business name

DANE M. ANDERSEN, DDS, PLLC

Doing business as

Andersen Dental Center

Practice address

2415 NE 134TH St Ste 307
Vancouver, WA 98686-3029

Phone

(360) 524-3122

NPI assigned

Apr 14, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Dane Andersen, DDSNPI 1376814178

Title

Owner/Dentist

Phone

(425) 346-0288

Specialties & licenses 1

Addresses

Other names 1

• Andersen Dental Center Doing business as

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.

• Dane Andersen, DDS

  • General Practice Dentistry
  • Vancouver, WA
  • NPI 1376814178
  NPD (past) Authorized official

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1235583485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 NE 134TH ST STE 307",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986863029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 NE 134TH ST STE 307",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986863029",
            "telephone_number": "360-524-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANE M. ANDERSEN, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "DANE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "425-346-0288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "60555443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andersen Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julia Damon
• Linda Damon
• Keri Damsgaard, PMHNP-BC
• Dana J Smith, PLLC
• Gavin Danapong, PHARMD
• Mahesh M Dangal, M.D.
• Dani Nierenberg PHD BCB PLLC
• Daniel & Max, LLC (Stanton Optical)
• Daniel E. Wilson, DMD PC (Cascade Dental)
• Daniel J Madden DDS PLLC

• Dental Clinic/Center in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.

Verify at the official NPI Registry.