Dane Andersen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60555443 Issued in WA

Practice address

2415 NE 134TH St Ste 307
Vancouver, WA 98686-3029

Phone

(360) 567-3333

NPI assigned

Jan 25, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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 and National Provider Directory roles.

• Dane M. Andersen, DDS, PLLC

  • Dental Clinic/Center
  • Vancouver, WA
  • NPI 1235583485
  NPD (past) Authorized official

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1376814178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9819 SE 18TH CIR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986643742",
            "telephone_number": "425-346-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 NE 134TH ST STE 307",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986863029",
            "telephone_number": "360-567-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "DANE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-25",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020533",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "60555443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Pugh DMD PS
• An Shen Wellness Wellness
• Jennifer K An
• Rachel Emma Anaminyi
• Jennifer Anderholt
• Kelli Jolaine Lawson Andersen, MD
• Makena Andersen
• Abbey Elizabeth Anderson
• Alan R Anderson, DDS
• Amy LW Anderson, MS, RDN, CDN, CDCES

• General Practice Dentistry in Vancouver, WA
• Providers in Vancouver, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.