NPIMap

Organization Active NPI

Eric Andersen PA

  • Dentist
  • Allen, TX
National Provider Identifier
1598214439
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30758 Issued in TX
Legal business name
ERIC ANDERSEN PA
Practice address
400 N Allen Dr
Suite 101
Allen, TX 75013-2555
Phone
(972) 727-4415
NPI assigned
Oct 3, 2016
Last updated
Oct 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Authorized official

Name
Dr. Eric Peter Andersen, DDSNPI 1710265996
Title
President
Phone
(847) 340-5565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30758 TX Primary

Addresses

Primary practice location

400 N Allen Dr
Suite 101
Allen, TX 75013-2555

Mailing address

400 N Allen Dr
Suite 101
Allen, TX 75013-2555
Phone (972) 727-4415

National Provider Directory

National Provider Directory

Locations

400 N Allen Dr
Ste 101
Allen, TX 75013
Phone (972) 727-4415

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1598214439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N ALLEN DR",
            "address_2": "SUITE 101",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750132555",
            "telephone_number": "972-727-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N ALLEN DR",
            "address_2": "SUITE 101",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750132555",
            "telephone_number": "972-727-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC ANDERSEN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-340-5565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.