Michele Anna-Marie Anderson, DENTAL ASSISTANT

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

78314 Issued in CA

Practice address

7525 N Cedar Ave Ste 105
Fresno, CA 93720-2698

Phone

(559) 439-6600

NPI assigned

Dec 4, 2018

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1376013128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 N CEDAR AVE STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202698",
            "telephone_number": "559-439-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 N CEDAR AVE STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202698",
            "telephone_number": "559-439-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MICHELE",
        "middle_name": "ANNA-MARIE",
        "name_prefix": "Mrs.",
        "credential": "DENTAL ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "78314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Nicole Anderson, PA-C
• Kellie Dee Anderson, MPT
• Lisa Andrea Anderson, C.M.T.
• Malcolm Francis Anderson, MD
• Michael Anderson
• Patrick Anderson
• Shamonique Qshocola Anderson
• Shawn Eric Anderson, D.D.S.
• Staci Arin Anderson, PHARM.D.
• Susan Marie Anderson, LMFT

• Dental Assistant in Fresno, CA
• Providers in Fresno, CA by specialty
• Dental Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.