Lori K Anderson DDS PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

LORI K ANDERSON DDS PLLC

Doing business as

Anderson Dental

Practice address

2525 W Carefree Hwy Ste 108
Phoenix, AZ 85085-6095

Phone

(623) 455-9179

NPI assigned

Sep 25, 2023

Organization subpart

No

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

Authorized official

Name

Lori K Anderson, DDSNPI 1326024506

Title

Doctor

Phone

(623) 455-9179

Specialties & licenses 2

Addresses

Other names 1

• ANDERSON DENTAL Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Lori K. Anderson, D.D.S

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1326024506
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1679352009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W CAREFREE HWY STE 108",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850856095",
            "telephone_number": "623-455-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W CAREFREE HWY STE 108",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850856095",
            "telephone_number": "623-455-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI K ANDERSON DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "623-455-9179",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANDERSON DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul Thomas Lorentsen, M.D.
• Vickey Lynn Lorentz, LCSW
• Madison Lorenz
• Michelle Lorenzana, LMFT
• Yolanda Lorenzo
• Lori K Anderson, DDS, PC
• Jean Rene Lorial, PA, FSA,MD
• Rosario Lorigan, LPC
• Karla Michelle Lorincy, MSN-FNP, RN
• Paul Bruce Lorton, PHARMD

• Oral and Maxillofacial Surgery (Dentist) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Oral and Maxillofacial Surgery (Dentist) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.