Dentists in Lawrence LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENTISTS IN LAWRENCE LLC

Practice address

831 Vermont St
Lawrence, KS 66044-2665

Phone

(785) 843-6060

Fax

(785) 843-4335

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Justin R Anderson, DDS

Title

Owner

Phone

(785) 843-6060

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1447360805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 VERMONT ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442665",
            "telephone_number": "785-843-6060",
            "fax_number": "785-843-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 VERMONT ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442665",
            "telephone_number": "785-843-6060",
            "fax_number": "785-843-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTS IN LAWRENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-843-6060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KS PROVIDER NUMBE",
            "identifier": "420743",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KC PROVIDER NUMBE",
            "identifier": "29713015",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Nicole Demato, APRN
• Karin L Denes-Collar, LSCSW
• Denise Parker-Timms, Lscsw
• Dale Patrick Denning, MD
• Stephen Kristopher Denny, M.A.
• Dermatopathology Services PA
• Dee Ann Deroin, MD MPH
• Killian James Derusha, LMSW
• Francis J. Desalvo Jr., PH.D., LSCSW
• Toni Lynn Detherage, LMSW

• Dentist in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Dentist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.