Anderson Dental DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ANDERSON DENTAL DDS PC

Practice address

823 NE Lakewood Blvd
Lees Summit, MO 64064-1366

Phone

(816) 478-0909

Fax

(816) 373-1181

NPI assigned

Mar 30, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Linda Anderson, DDSNPI 1982787222

Title

President

Phone

(816) 478-0909

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Linda Crismon Anderson, DDS

  • Dentist
  • Lee's Summit, MO
  • NPI 1982787222
  NPD (past) Authorized official

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679693089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 NE LAKEWOOD BLVD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641366",
            "telephone_number": "816-478-0909",
            "fax_number": "816-373-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 NE LAKEWOOD BLVD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641366",
            "telephone_number": "816-478-0909",
            "fax_number": "816-373-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON DENTAL DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-478-0909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SERVING NUMBER",
            "identifier": "24264041",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• America's Best Contacts & Eyeglasses
• American Behavioral Solutions Missouri, LLC
• Lisa Levin Amsterdam, M.D.
• Amy Chow MD Medical Practice LLC (Dr. Chow's Rejuvenation Practice)
• Anchored in Healing, LLC
• Bryan Anderson, PHARM D
• Emily Ann Anderson, RN, IBCLC
• Georgiann L Anderson, RN, MSN
• Jacob Matthew Anderson, D.D.S.
• Kaitlyn Ann Anderson, PLPC

• General Practice Dentistry in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.