Scott Thomas Anderson, DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7390 Issued in IA

Practice address

400 S Riverview
Bellevue, IA 52031

Phone

(563) 872-5678

Fax

(563) 872-5678

NPI assigned

Dec 8, 2006

Last updated

Jul 8, 2007By 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 3

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.

• Scott T. Anderson, DDS, PC

  • Dentist
  • Bellevue, IA
  • NPI 1467610725
  NPD (past) Authorized official
• Peter J Pauly DDS PC

  • Dental Clinic/Center
  • Bellevue, IA
  • NPI 1619135696
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356400857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S RIVERVIEW",
            "city": "BELLEVUE",
            "state": "IA",
            "postal_code": "52031",
            "telephone_number": "563-872-5678",
            "fax_number": "563-872-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S RIVERVIEW",
            "city": "BELLEVUE",
            "state": "IA",
            "postal_code": "52031",
            "telephone_number": "563-872-5678",
            "fax_number": "563-872-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SCOTT",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DDS PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "7390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0056697",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA OF IA",
            "identifier": "281188",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "860752",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Armstrong Psychiatric Services PLLC
• Bellevue Community School District
• Bellevue Pharmacy Inc
• Joshua James Bird, MA
• Body and Brain Therapy and Wellness, PLLC

• General Practice Dentistry in Bellevue, IA
• Providers in Bellevue, IA by specialty
• General Practice Dentistry in Iowa

• 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.