Karen Shelby Anderson, DMD
Individual provider Active NPI General Practice Dentistry · Manchester, NH
NPI 1528298650 · NPPES record last updated Nov 27, 2013
Key facts
- NPI
- 1528298650
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2550 (NH)
- Practice address
- 718 Smyth Rd
Vamc
Manchester, NH 03104 - Phone
- (603) 624-4366
- NPI assigned
- Jul 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140220001548 | NH | Order and Referring Only - Oral Surgery |
1052541901 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2550 | NH | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2550 | NH | Yes |
Addresses
Primary practice location
718 Smyth Rd
Vamc
Manchester, NH 03104
Mailing address
718 Smyth Rd
Vamc
Manchester, NH 03104
Phone (603) 624-4366
Other providers in Manchester, NH
- Amoskeag Women'S Health, PLLC
- Amrita Reddy DMD, PC
- Audrey L. Anastasia
- Joanne Redding Anctil
- Irene Anderson
- Kristyn Marie-Napoli Anderson
- Sadie Borden Anderson
- Sunnie Anderson
- Tiffani Lynn Anderson
- Violet Anderson
All providers in Manchester, NH · General Practice Dentistry in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.