Kristin Anderson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

105004 Issued in CA

Practice address

8359 Elk Grove Florin Rd Ste 101
Sacramento, CA 95829-9298

Phone

(916) 689-8281

NPI assigned

Aug 30, 2020

Sex

Female

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 CA

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": "1598745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654992000000",
    "number": "1306459151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 E BIDWELL ST # 101",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306456",
            "telephone_number": "916-204-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8359 ELK GROVE FLORIN RD STE 101",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958299298",
            "telephone_number": "916-689-8281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 El Camino Ave Ste 125",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958152752",
            "country_code": "US",
            "telephone_number": "512-428-8863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "444 N 3rd St",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958110226",
            "country_code": "US",
            "telephone_number": "512-428-8863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KRISTIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-30",
        "last_updated": "2022-06-12",
        "certification_date": "2022-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "105004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johneisha Anderson
• Josh Anderson
• Joshua Anderson
• Kaj Anderson, MD
• Karlee Anderson
• Lacey M Anderson
• Laila Anderson
• Laura Anderson, MD
• Lauren Anderson, LVN
• Lauren Finley Anderson, DPT

• General Practice Dentistry in Sacramento, CA
• Providers in Sacramento, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2022; 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.