Clifford Virgil Anderson, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12006 Issued in MO

Practice address

4240 Blue Ridge Blvd
Suite 800
Kansas City, MO 64133

Phone

(816) 353-7200

Fax

(816) 353-5162

NPI assigned

May 19, 2006

Last updated

Jul 13, 2026By 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 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Clifford V Anderson DDS and Associates Inc

  • General Practice Dentistry
  • Kansas City, MO
  • NPI 1376599373

  Pediatric Dentistry

  NPD (past) Authorized official

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1336193952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 BLUE RIDGE BLVD",
            "address_2": "SUITE 800",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64133",
            "telephone_number": "816-353-7200",
            "fax_number": "816-353-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 BLUE RIDGE BLVD",
            "address_2": "SUITE 800",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64133",
            "telephone_number": "816-353-7200",
            "fax_number": "816-353-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CLIFFORD",
        "middle_name": "VIRGIL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MO",
            "license": "12006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "05270011",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "144566",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Charles Andersen, DO
• Michael Andersen, DPM
• Alexandria Anderson, BCBA
• Chandra E Anderson, RN
• Clay M Anderson, MD
• Crystal Dawn Anderson
• Edna Mae Anderson, RN
• Emily Dyan Anderson, MS, LPC
• Gay Lynn Anderson, ATC
• Hannah Anderson

• Pediatric Dentistry in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Pediatric Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.