David Anderson, MD, PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

DAVID ANDERSON, MD, PLLC

Practice address

501 Millwood Cir
Suite H
Maumelle, AR 72113-6327

Phone

(501) 712-1998

Fax

(501) 712-1999

NPI assigned

Feb 15, 2014

Last updated

Mar 27, 2014By 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

David AndersonNPI 1245410216

Title

Owner

Phone

(501) 712-1998

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 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.

• David E. Anderson, MD

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Conway, AR
  • NPI 1245410216
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1392422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1477977171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13805",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721130805",
            "telephone_number": "501-712-1998",
            "fax_number": "501-712-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MILLWOOD CIR",
            "address_2": "SUITE H",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721136327",
            "telephone_number": "501-712-1998",
            "fax_number": "501-712-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID ANDERSON, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-15",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-712-1998"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS STATE MEDICAL BOARD REGISTRATION",
            "identifier": "MC-3010",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Curely Health, LLC (Curely Health)
• Rachael Constance Curtis, APRN-CNP, FNP-BC
• Kalli Custer, RN
• Christen Erin Dalby, PHARMD
• Darla Schatz Massage Therapy (Integrated Bodywork Clinic)
• David Manning, OD, PA
• Gregory Alan Davis, MNSC, APRN FNP-C
• Lakera Davis, LPC
• Lori T Dawson, CCC-SLP
• Derek S Long OD, Inc (Maumelle Eye Care)

• Medical Specialty Clinic/Center in Maumelle, AR
• Providers in Maumelle, AR by specialty
• Medical Specialty Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.