NPIMap

Organization Active NPI

Dr Richard J Anderson DDS PA

  • General Practice Dentistry
  • Edina, MN
National Provider Identifier
1548926876
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DR RICHARD J ANDERSON DDS PA
Practice address
3925 W 50TH St Ste 104
Edina, MN 55424-1262
Phone
(952) 926-0284
Fax
(952) 926-8723
NPI assigned
Nov 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Richard J. Anderson, DDSNPI 1861498933
Title
President
Phone
(952) 926-0284

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3925 W 50TH St Ste 104
Edina, MN 55424-1262

Mailing address

3925 W 50TH St Ste 104
Edina, MN 55424-1262
Phone (952) 926-0284

Other identifiers 1

IdentifierTypeStateIssuer
D8788OtherMNLICENSE

Other names 1

  • Anderson Dentalcare Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.rjandersondds.com Direct

National Provider Directory

National Provider Directory

Locations

3925 W 50th St
Ste 104
Edina, MN 55424
Phone (952) 926-0284

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1548926876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 W 50TH ST STE 104",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241262",
            "telephone_number": "952-926-0284",
            "fax_number": "952-926-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 W 50TH ST STE 104",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241262",
            "telephone_number": "952-926-0284",
            "fax_number": "952-926-8723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RICHARD J ANDERSON DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-926-0284",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "D8788",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.rjandersondds.com",
            "affiliation": "N",
            "endpointDescription": "Desktop",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3925 W 50th St Ste 104",
            "city": "Edina",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554241262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Anderson Dentalcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.