Fred E. Anderson, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

1604 Issued in MT

Practice address

2515 6TH Ave S
Great Falls, MT 59405-3013

Phone

(406) 761-1945

Fax

(406) 761-2688

NPI assigned

Nov 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 MT

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brad R. Hobson, DDS, PLLC

  • Dental Clinic/Center
  • Great Falls, MT
  • NPI 1376053207
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477628790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 6TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594053013",
            "telephone_number": "406-761-1945",
            "fax_number": "406-761-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 6TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594053013",
            "telephone_number": "406-761-1945",
            "fax_number": "406-761-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "FRED",
        "middle_name": "E.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "1604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Rae Anderson Mangan, LCPC
• Alora D Anderson, AUD
• Amy Anderson
• David E Anderson, MD
• Eric J. Anderson, MD
• Loy L Anderson, MD
• Sammie Jo Anderson, LAC
• Teslynn Alissa Anderson, MSC
• Laurel Ann Andrechak, FNP, PSYCH NP
• Shelley Louise Andrus, APRN

• Dentist in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Dentist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.