Individual provider Active NPI

Christopher Wesley Anderson, D.D.S.

  • Dentist
  • Arnold, MD
National Provider Identifier
1699066027
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14864 Issued in MD
Practice address
1460 Ritchie Hwy
#203
Arnold, MD 21012-2730
Phone
(410) 757-6681
NPI assigned
Apr 19, 2011
Last updated
Feb 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 018.001802 IL
Dentist 122300000X 14864 MD Primary

Addresses

Primary practice location

1460 Ritchie Hwy
#203
Arnold, MD 21012-2730

Mailing address

1460 Ritchie Hwy
Ste 203
Arnold, MD 21012-2741
Phone (410) 757-6681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160308001300 MD Order and Referring Only - DentistPractitioner - Dentist 9638475221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
018.001802ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Health Professionals of Maryland, Badger, P.C. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1699066027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 RITCHIE HWY",
            "address_2": "STE 203",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122741",
            "telephone_number": "410-757-6681",
            "fax_number": "410-757-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 RITCHIE HWY",
            "address_2": "#203",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122730",
            "telephone_number": "410-757-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-19",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "018.001802",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "14864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MD

Sources for this page

Verify at the official NPI Registry.