Organization Active NPI

Derek Maurice Anders DPM

  • Podiatrist
  • Reno, NV
National Provider Identifier
1346411048
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DPM9501 Issued in NV
Legal business name
DEREK MAURICE ANDERS DPM
Practice address
800 Kuenzli St
Reno, NV 89502-1114
Phone
(775) 786-5060
Fax
(775) 786-8029
NPI assigned
Mar 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Dr. Derek Anders, D.P.M.NPI 1992742118
Title
Owner
Phone
(775) 786-5060

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X DPM9501 NV Primary

Addresses

Primary practice location

800 Kuenzli St
Reno, NV 89502-1114

Mailing address

800 Kuenzli St
Reno, NV 89502-1114
Phone (775) 786-5060

Other identifiers 2

IdentifierTypeStateIssuer
U58326OtherNVUPIN
1231020001OtherNVDMERC

National Provider Directory

National Provider Directory

Locations

800 Kuenzli St
Reno, NV 89502
Phone (775) 783-1122

Practitioners & affiliated clinicians

Practitioners 2

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": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1346411048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 KUENZLI ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021114",
            "telephone_number": "775-786-5060",
            "fax_number": "775-786-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 KUENZLI ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021114",
            "telephone_number": "775-786-5060",
            "fax_number": "775-786-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEREK MAURICE ANDERS DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "ANDERS",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-786-5060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NV",
            "license": "DPM9501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "U58326",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "1231020001",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.