Robert C Anderson, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS016944L Issued in PA

Practice address

4206 East Lake Rd
Erie, PA 16511-1357

Phone

(814) 899-0602

Fax

(814) 898-0990

NPI assigned

Aug 2, 2006

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265449995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 EAST LAKE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165111357",
            "telephone_number": "814-899-0602",
            "fax_number": "814-898-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 EAST LAKE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165111357",
            "telephone_number": "814-899-0602",
            "fax_number": "814-898-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ROBERT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS016944L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen K Anderson, RDH
• Lauren Anderson, CRNP
• Marcia Devon Anderson, NCC, LPC
• Matthew C Anderson
• Richard J Anderson Jr., MD
• Tyler Anderson, PA-C
• Zachary Douglas Anderson
• Gregory A Andrews, MD ABPM ABFM FASAM
• Mary Ann Andriole-Wendel, D.O.
• Rose Anne Andrus

• Dentist in Erie, PA
• Providers in Erie, PA by specialty
• Dentist in Pennsylvania

• 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.