Gina Louise Anderson, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

3802 Issued in OK

Practice address

6416 S Elm PL
Broken Arrow, OK 74011-4819

Phone

(918) 940-3244

NPI assigned

Nov 5, 2024

Last updated

Nov 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1407679871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6416 S ELM PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740114819",
            "telephone_number": "918-940-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6416 S ELM PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740114819",
            "telephone_number": "918-940-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "GINA",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OK",
            "license": "3802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Taylor Anandam, PHARMD
• Anchor Ridge Counseling LLC (Anchor Ridge Counseling)
• Anchored Mobility
• Anderson Eyecare PC
• Chelsea Anderson, COTA/L
• Grace Godfrey Anderson, MD ; SLP-CF
• Kirsten Anderson
• Traci Kane Anderson, LCSW
• William Robert Anderson Jr., MSCJ
• Ginger Andresen, M.S. SLP-CCC

• Dental Hygienist in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Dental Hygienist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.