David Harry Anderson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4910 Issued in OR

Practice address

16740 SE Stark St
Portland, OR 97233-4240

Phone

(503) 255-0440

Fax

(503) 255-5578

NPI assigned

Jul 8, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

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

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1437157906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16740 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972334240",
            "telephone_number": "503-255-0440",
            "fax_number": "503-255-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16740 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972334240",
            "telephone_number": "503-255-0440",
            "fax_number": "503-255-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DAVID",
        "middle_name": "HARRY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "4910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Stephen Anderson, DPT
• Darby Elizabeth Anderson, LMT
• Darlene J Anderson, NP
• Daryl E. Anderson, PHD
• David Allen Anderson, M.A., L.P.C., N.C.C.
• David J Anderson
• Dean Anderson
• Debra Anderson
• Desiray Anderson, PT, DPT
• Dustin Anderson

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.