Organization Active NPI

Lisa M. Anderson, DDS, Ms, Inco

  • Dental Clinic/Center
  • Saratoga, CA
National Provider Identifier
1669718417
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
58038 Issued in CA
Legal business name
LISA M. ANDERSON, DDS, MS, INCO
Doing business as
Endodontic Associates Saratoga
Practice address
19100 Cox Ave
Suite C
Saratoga, CA 95070-6602
Phone
(408) 255-6511
Fax
(408) 255-9695
NPI assigned
Dec 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Authorized official

Name
Dr. Lisa Murphy Anderson, DDS
Title
President
Phone
(408) 255-6511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 58038 CA Primary

Addresses

Primary practice location

19100 Cox Ave
Suite C
Saratoga, CA 95070-6602

Mailing address

19100 Cox Ave
Suite C
Saratoga, CA 95070-6602
Phone (408) 255-6511

Other names 1

  • Endodontic Associates Saratoga Doing business as

National Provider Directory

National Provider Directory

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": "1356480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1669718417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19100 COX AVE",
            "address_2": "SUITE C",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950706602",
            "telephone_number": "408-255-6511",
            "fax_number": "408-255-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19100 COX AVE",
            "address_2": "SUITE C",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950706602",
            "telephone_number": "408-255-6511",
            "fax_number": "408-255-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA M. ANDERSON, DDS, MS, INCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-26",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MURPHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-255-6511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "58038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endodontic Associates Saratoga",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saratoga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.