Dennis Rolland Anderson, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OP00000857 Issued in WA

Practice address

1601 5TH Ave
Suite 830
Seattle, WA 98101-3621

Phone

(206) 624-6050

Fax

(206) 838-3085

NPI assigned

Jun 19, 2006

Sex

Male

Sole proprietor

No

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.

• Pacmed Clinics

  • Multi-Specialty Clinic/Center
  • Seattle, WA
  • NPI 1013061217

  WA

  Medicare reassignment NPD
• Pacmed Clinics

  • Multi-Specialty Clinic/Center
  • Renton, WA
  • NPI 1720023641
  NPD
• Pacmed Clinics

  • Multi-Specialty Clinic/Center
  • Puyallup, WA
  • NPI 1841550530

  Family Medicine

  NPD
• Carena Medical Providers PS

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1902935711

  Family Medicine

  NPD (past)
• Caresimple Providers PS

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1811376833

  Family Medicine

  NPD (past)
• King County Public Hospital District No 2

  • Obstetrics Physician
  • Kirkland, WA
  • NPI 1891883435
  NPD (past)
• Shoreline Family Practice LLP

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1942242342

  Family Medicine

  NPD (past)

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: danderson2438762@wm.providencedirect.org

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 29, 2008.

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219968000000",
    "number": "1386689628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 5TH AVE",
            "address_2": "SUITE 830",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013621",
            "telephone_number": "206-624-6050",
            "fax_number": "206-838-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 5TH AVE",
            "address_2": "SUITE 830",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013621",
            "telephone_number": "206-624-6050",
            "fax_number": "206-838-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DENNIS",
        "middle_name": "ROLLAND",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2008-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00000857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1159003",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corrie Anderson
• Craig Jon Anderson, D.D.S.
• Dean Emery Anderson, D.D.S.
• Deborah A Anderson, OT
• Demi N Anderson
• Desmond K Anderson
• Eden Anderson
• Elizabeth Anderson, MS, CCC-SLP
• Elizabeth Claire Anderson, OTR/L
• Elizabeth J Anderson, MA, LMHP

• All providers in Seattle, WA
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.