Active NPI
Justin Roy Anderson, D.D.S.
- Dentist
- Lawrence, KS
National Provider Identifier
1669445805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7194
- Practice address
- 831 Vermont St
Lawrence, KS 66044-2665 - Phone
- (785) 843-6060
- Fax
- (785) 843-4335
- NPI assigned
- Feb 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7194 | KS | Primary |
Addresses
Primary practice location
831 Vermont St
Lawrence, KS 66044-2665
Mailing address
831 Vermont St
Lawrence, KS 66044-2665
Phone (785) 843-6060
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29807017 | Other | MO | BC/BS OF KANSAS CITY |
| 116686 | Other | KS | BC/BS OF KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7194 | KS | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1669445805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 VERMONT ST",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660442665",
"telephone_number": "785-843-6060",
"fax_number": "785-843-4335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 VERMONT ST",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660442665",
"telephone_number": "785-843-6060",
"fax_number": "785-843-4335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "JUSTIN",
"middle_name": "ROY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KS",
"license": "7194",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF KANSAS CITY",
"identifier": "29807017",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF KS",
"identifier": "116686",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.