Michael Warren Regan Anderson, DDS, MS

Primary specialty

DentistTaxonomy code 122300000X

License

D13552 Issued in MN

Practice address

2659 Superior Dr NW
Rochester, MN 55901-8533

Phone

(507) 281-1295

NPI assigned

Jul 11, 2015

Last updated

Aug 14, 2017By 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 2

Addresses

Other names 1

• Dr. Michael Warren Anderson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Zumbro Valley Endodontics

  • Endodontics
  • Rochester, MN
  • NPI 1568067213
  NPD (past)

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

{
    "created_epoch": "1436572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502668800000",
    "number": "1316321177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2659 SUPERIOR DRIVE NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "55901",
            "telephone_number": "507-281-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2659 SUPERIOR DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559018533",
            "telephone_number": "507-281-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGAN ANDERSON",
        "first_name": "MICHAEL",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-11",
        "last_updated": "2017-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MN",
            "license": "D13552",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "ANDERSON",
            "middle_name": "WARREN",
            "prefix": "DR.",
            "credential": "DDS, MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sandra K Reese, O.T.
• Reeve Family Dentistry
• Joseph G Reeve, D.D.S.
• Mary Rachelle Reeves, NP
• Ronald K Reeves, M.D.
• Dennis W Regan, MD
• Hannah Renee Regan, PA
• Frederick J Regennitter, DDS
• Richard Maxwell Regester, MD
• Cynthia Ellen Regnier, R.N.

• Dentist in Rochester, MN
• Providers in Rochester, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2017; 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.