Re Anderson Dental Lab

Primary specialty

Dental LaboratoryTaxonomy code 292200000X

License

600002741000 Issued in WA

Legal business name

RE ANDERSON DENTAL LAB

Practice address

1915 N Division St
Spokane, WA 99207-2253

Phone

(509) 327-9591

NPI assigned

May 25, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Michael Anderson

Title

President

Phone

(509) 327-9591

Specialties & licenses 1

Addresses

Other names 1

• Benefit Dental Lab Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frankie Roberto Flores, DENTURIST

  • Denturist
  • Spokane, WA
  • NPI 1871813121
  NPD (past)

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1316266760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 N DIVISION ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992072253",
            "telephone_number": "509-327-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 N DIVISION ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992072253",
            "telephone_number": "509-327-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RE ANDERSON DENTAL LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-327-9591",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": "WA",
            "license": "600002741000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benefit Dental Lab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Terri Ray, BSN, RN
• Connie S. Raybuck, PH.D.
• Melissa Raymond
• Leander Allen Raymont, AAC
• Kassandra Marie Raynor
• Brittany Read
• David Read, DO
• Michael Patrick Readel, DDS
• Stacia Reagan, PA-C, OSTEOPATHIC PA
• Realign Spine, PLLC

• Dental Laboratory in Spokane, WA
• Providers in Spokane, WA by specialty
• Dental Laboratory in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.