Devin Anderson D,D.S.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

46353 Issued in CA

Legal business name

DEVIN ANDERSON D,D.S.

Practice address

11261 Wareham CT
Loma Linda, CA 92354-4875

Phone

(909) 496-1718

Fax

(909) 478-0778

NPI assigned

Jun 26, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Devin Lee Anderson, D,D.S.NPI 1629484522

Title

Dentist Anesthesiologist

Phone

(909) 496-1718

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Devin Anderson, D.D.S.

  • Dental Anesthesiology
  • Loma Linda, CA
  • NPI 1629484522
  NPD (past) Authorized official

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1467867580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11261 WAREHAM CT",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923544875",
            "telephone_number": "909-496-1718",
            "fax_number": "909-478-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11261 WAREHAM CT",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923544875",
            "telephone_number": "909-496-1718",
            "fax_number": "909-478-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVIN ANDERSON D,D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DENTIST ANESTHESIOLOGIST",
        "authorized_official_telephone_number": "909-496-1718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D,D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "46353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fairuz Coromoto Despujos Harfouche, M.D
• Amit Devaraj, NP
• Akanksha Indu Devasigamani, DO
• Michael E Devera, MD
• Michelle Deville
• Emmajane Devora
• Julia Mari Devore, AUD
• Bidur Dhakal, MD
• Sonia Gurmindar Dhaliwal, MD
• Abhishek Jay Dharan, MD

• Dental Clinic/Center in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.