Organization Active NPI

Robert E Anderson DMD, Inc

  • Endodontics
  • Hermosa Beach, CA
National Provider Identifier
1336910934
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
ROBERT E ANDERSON DMD, INC
Practice address
2200 Pacific Coast Hwy Ste 201
Hermosa Beach, CA 90254-2701
Phone
(503) 704-3957
NPI assigned
Jan 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Robert Anderson, DMDNPI 1952735524
Title
Endodontist
Phone
(503) 704-3957

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

2200 Pacific Coast Hwy Ste 201
Hermosa Beach, CA 90254-2701

Mailing address

14060 Marquesas Way Apt 2301
Marina del Rey, CA 90292-7499
Phone (503) 704-3957

National Provider Directory

National Provider Directory

Locations

2200 Pacific Coast Hwy
Ste 201
Hermosa Beach, CA 90254
Phone (310) 318-9767

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1336910934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14060 MARQUESAS WAY APT 2301",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902927499",
            "telephone_number": "503-704-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PACIFIC COAST HWY STE 201",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542701",
            "telephone_number": "503-704-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E ANDERSON DMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "503-704-3957",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermosa Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.