Eric Paul Anderson, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

10488 Issued in CO

Practice address

20971 E Smoky Hill Rd Ste 202
Centennial, CO 80015-5187

Phone

(303) 400-1100

Fax

(303) 400-4422

NPI assigned

Jul 7, 2011

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Advanced Periodontics & Implant Dentistry PLLC

  • Periodontics
  • Centennial, CO
  • NPI 1912354812
  NPD (past) Authorized official
• Aurora Periodontics & Implant Dentistry

  • Periodontics
  • Centennial, CO
  • NPI 1730458050
  NPD (past) Authorized official

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1497042725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20971 E SMOKY HILL RD STE 202",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800155187",
            "telephone_number": "303-400-1100",
            "fax_number": "303-400-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20971 E SMOKY HILL RD STE 202",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800155187",
            "telephone_number": "303-400-1100",
            "fax_number": "303-400-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ERIC",
        "middle_name": "PAUL",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "10488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawnielle Andersen
• Debbie Andersen, MS, RD
• Bruce Anderson
• Bryce Anderson
• Claire Wilt Anderson, FNP-C
• Erica Anderson, RN-BC, MS
• Erik Anderson, LPC
• Halley Jane Anderson, FNP
• James T Anderson, D.C.
• Jamie Anderson, O.D.

• Periodontics in Centennial, CO
• Providers in Centennial, CO by specialty
• Periodontics in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.