Robert William Anderson, DDS, MSD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

39508 Issued in CA

Practice address

3694 Hilborn Rd Ste 202
Fairfield, CA 94534-7988

Phone

(707) 422-2190

Fax

(707) 422-2191

NPI assigned

Apr 25, 2007

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

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 and National Provider Directory roles.

• Robert Anderson Dental Corp

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fairfield, CA
  • NPI 1386841559
  NPD (past) Authorized official
• Reeves, D.D.S. and Lavalley, D.D.S., a Dental Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fairfield, CA
  • NPI 1245821156
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336368380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3694 HILBORN RD STE 202",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945347988",
            "telephone_number": "707-422-2190",
            "fax_number": "707-422-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3694 HILBORN RD STE 202",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945347988",
            "telephone_number": "707-422-2190",
            "fax_number": "707-422-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "39508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa M Anderson, SLP
• Lydell Anderson, M.D.
• Mark Wayne Anderson, DDS
• Pamela Cora Yvette Anderson
• Rachel Anderson, MD
• Seth William Anderson
• Shailjah Anderson
• Shere Anderson
• Annalissa Andrade
• Emily Petra-Mika Andrade

• Orthodontics and Dentofacial Orthopedics Dentistry in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.