Brett W Anderson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21487 Issued in TX

Practice address

22106 Hwy 71 W
Spicewood, TX 78669-6115

Phone

(512) 264-9977

NPI assigned

Oct 28, 2008

Last updated

Oct 29, 2008By 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 TX

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.

• Anderson Dental Clinic

  • General Practice Dentistry
  • Spicewood, TX
  • NPI 1922246537
  NPD (past)

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225238400000",
    "number": "1487807939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22106 HWY 71 W",
            "city": "SPICEWOOD",
            "state": "TX",
            "postal_code": "786696115",
            "telephone_number": "512-264-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22106 HWY 71 W",
            "city": "SPICEWOOD",
            "state": "TX",
            "postal_code": "786696115",
            "telephone_number": "512-264-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "BRETT",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ability Solutions
• Anna Delia Alvarado, LMT, MTI, MMA
• Anderson Dental Clinic
• Charles Wayne Anderson
• Applied Educational Services, LLC
• Judith Altares Arrington, CRNA
• Assistacare LLC
• Athletes Treating Athletes LLC (ATA Sports Therapy)

• General Practice Dentistry in Spicewood, TX
• Providers in Spicewood, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.