Organization Active NPI

Clifford V Anderson DDS and Associates Inc

  • General Practice Dentistry
  • Kansas City, MO
National Provider Identifier
1376599373
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CLIFFORD V ANDERSON DDS AND ASSOCIATES INC
Practice address
4240 Blue Ridge Blvd
Suite 800
Kansas City, MO 64133
Phone
(816) 353-7200
Fax
(816) 353-5162
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Dr. Clifford Virgil Anderson, DDSNPI 1336193952
Title
President
Phone
(816) 353-7200

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X

Addresses

Primary practice location

4240 Blue Ridge Blvd
Suite 800
Kansas City, MO 64133

Mailing address

4240 Blue Ridge Blvd
Suite 800
Kansas City, MO 64133-1713
Phone (816) 353-7200

National Provider Directory

National Provider Directory

Locations

4240 Blue Ridge Blvd
Ste 800
Kansas City, MO 64133
Phone (816) 353-7200

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": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1376599373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 BLUE RIDGE BLVD",
            "address_2": "SUITE 800",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641331713",
            "telephone_number": "816-353-7200",
            "fax_number": "816-353-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 BLUE RIDGE BLVD",
            "address_2": "SUITE 800",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64133",
            "telephone_number": "816-353-7200",
            "fax_number": "816-353-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFFORD V ANDERSON DDS AND ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "VIRGIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-353-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.