Damon a Anderson, DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3787 Issued in ID

Legal business name

DAMON A ANDERSON, DDS, PC

Practice address

2455 N Milwaukee St
Boise, ID 83704-5736

Phone

(208) 376-2721

Fax

(208) 376-2756

NPI assigned

Aug 5, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Teresa D Jardine

Title

Office Administrator

Phone

(208) 376-2721

Specialties & licenses 1

Addresses

Tax ID family

Damon a Anderson DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Damon a. Anderson DDS, PC

  • Dental Clinic/Center
  • Boise, ID
  • NPI 1295991669
  NPD tax ID

Locations

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1275724304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 N MILWAUKEE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045736",
            "telephone_number": "208-376-2721",
            "fax_number": "208-376-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 N MILWAUKEE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045736",
            "telephone_number": "208-376-2721",
            "fax_number": "208-376-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMON A ANDERSON, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "JARDINE",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "208-376-2721",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "3787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Dalton, PA-C
• Jeff Dambitis, RPH
• Cristi I. Dame, LPC, NCC
• Kristen Damiani, LMSW
• Lynn Marie Dammarell, RD,CDE,LD
• Damon a. Anderson DDS, PC
• Daniel & Max, LLC
• Daniel S Malan, DMD PLLC
• Jilu Daniel Varughese
• Diane M Daniel, LCPC

• General Practice Dentistry in Boise, ID
• Providers in Boise, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.