Lori K. Anderson, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4989 Issued in AZ

Practice address

2525 W. Carefree Hwy Ste 108
Ste 108
Phoenix, AZ 85085

Phone

(623) 455-9179

Fax

(623) 466-0139

NPI assigned

Dec 19, 2005

Last updated

Feb 13, 2019By the provider in NPPES

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 AZ

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Lori K Anderson DDS PLLC

  dba Anderson Dental

  • Oral and Maxillofacial Surgery (Dentist)
  • Phoenix, AZ
  • NPI 1679352009
  Medicare reassignment NPD Authorized official
• Dental Implant Institute PLLC

  • Orofacial Pain Dentistry
  • Scottsdale, AZ
  • NPI 1265344154
  Authorized official Same address or phone

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1326024506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W. CAREFREE HWY STE 108",
            "address_2": "STE 108",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85085",
            "telephone_number": "623-455-9179",
            "fax_number": "623-466-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W. CAREFREE HWY STE 108",
            "address_2": "STE 108",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85085",
            "telephone_number": "623-455-9179",
            "fax_number": "623-466-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LORI",
        "middle_name": "K.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Emily Anderson, RBT
• Kristin Schoolman Anderson, M.D.
• Laura Lynne Anderson, APRN, DNP, PMHNP-BC
• Laverne Anderson
• Lindsay Marie Anderson, PHD
• Luke Anderson
• Mark Anderson
• Matthew J Anderson, PA-C
• Megan Anderson, RD
• Melissa Anderson, MA, BCBA, LBA

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.