Organization Active NPI

Anderson Complete Family Dentistry

  • General Practice Dentistry
  • Tuscaloosa, AL
National Provider Identifier
1407114200
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ANDERSON COMPLETE FAMILY DENTISTRY
Practice address
204 McFarland Cir N
Tuscaloosa, AL 35406-1800
Phone
(205) 758-4722
Fax
(205) 758-7758
NPI assigned
Apr 30, 2012
Last updated
Apr 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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

Authorized official

Name
Kenneth David Anderson, D.M.D.NPI 1215951611
Title
President
Phone
(205) 758-4721

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

204 McFarland Cir N
Tuscaloosa, AL 35406-1800

Mailing address

204 McFarland Cir N
Tuscaloosa, AL 35406-1800
Phone (205) 758-4722

National Provider Directory

National Provider Directory
Tax ID family
Anderson Complete Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1407114200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MCFARLAND CIR N",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354061800",
            "telephone_number": "205-758-4722",
            "fax_number": "205-758-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MCFARLAND CIR N",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354061800",
            "telephone_number": "205-758-4722",
            "fax_number": "205-758-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON COMPLETE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-758-4721",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.