Ronnie Lee Anderson DDS Ms

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

15020 Issued in OH

Legal business name

RONNIE LEE ANDERSON DDS MS

Practice address

2220 Olympic St
Springfield, OH 45503-2737

Phone

(937) 390-6616

Fax

(937) 390-9706

NPI assigned

May 18, 2011

Last updated

May 18, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ronnie L AndersonNPI 1023119344

Title

President

Phone

(937) 390-6616

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Ronnie Lee Anderson, DDS MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Springfield, OH
  • NPI 1023119344
  NPD (past) Authorized official

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1417240847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 OLYMPIC ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032737",
            "telephone_number": "937-390-6616",
            "fax_number": "937-390-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 OLYMPIC ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032737",
            "telephone_number": "937-390-6616",
            "fax_number": "937-390-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONNIE LEE ANDERSON DDS MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-390-6616",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "15020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3056679",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Wells Roller, MPT
• Chasity Rollins
• Thomas Rollins
• Regina Roman, CDCA
• Ronald B Spier MD Inc
• Lauren Christine Rose
• Crystal Rosenberg, LISW
• Rosewood Dental of Springfield
• Amy Ross, NP-C, FNP-BC
• Carol Jean Ross, LPN

• Orthodontics and Dentofacial Orthopedics Dentistry in Springfield, OH
• Providers in Springfield, OH by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.