Patrick S Anderson, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

7044 Issued in NE

Practice address

3835 Holdrege St
Lincoln, NE 68503-1435

Phone

(402) 472-1492

NPI assigned

Jul 16, 2012

Last updated

Jul 16, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in SD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342396800000",
    "number": "1265787279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 HOLDREGE ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685031435",
            "telephone_number": "402-472-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 HOLDREGE ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685031435",
            "telephone_number": "402-472-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "PATRICK",
        "middle_name": "S",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "7044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latrisha T Anderson
• Laura Patricia Anderson, RDH,BS
• Linda Sue Anderson
• Macy Jolynne Anderson, M.S, BCBA, LBA
• Madysen Anderson
• Raeann Jo Anderson, APRN
• Rebecca Anderson
• Sandra Anderson
• Sherry Lynne Anderson
• Sonya Lee Anderson, P.T.

• Dentist in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Dentist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.