Lloyd Theodore Anderson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9281 Issued in MN

Practice address

620 Becker Ave SW
Willmar, MN 56201-3234

Phone

(320) 235-4622

Fax

(320) 235-7083

NPI assigned

Mar 29, 2006

Last updated

Mar 31, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1699736603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 BECKER AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013234",
            "telephone_number": "320-235-4622",
            "fax_number": "320-235-7083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 BECKER AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013234",
            "telephone_number": "320-235-4622",
            "fax_number": "320-235-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LLOYD",
        "middle_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "9281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "45019AN",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "810520100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Anderson, NP
• Dorothy Lorraine Anderson, MD
• Harlan Leroy Anderson, D.D.S
• Katherine Anderson
• Kelli Jo Anderson
• Michael T Anderson, MD
• Norris M Anderson, MD
• James R Andresen, PHYSICAL THERAPIST
• Leroy Arnold Andresen, RPH
• Rebecca Andrews

• General Practice Dentistry in Willmar, MN
• Providers in Willmar, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.