Edward Andrew Anderson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1559 Issued in ND

Practice address

302 2ND Ave SW
Jamestown, ND 58401-4157

Phone

(701) 252-1661

Fax

(701) 251-9128

NPI assigned

Aug 31, 2006

Last updated

Jul 9, 2007By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Edward a Anderson DDS PC

  • General Practice Dentistry
  • Jamestown, ND
  • NPI 1588766166
  NPD (past) Authorized official
• Clinton S. Miller P.C.

  dba Miller Dental

  • Dental Clinic/Center
  • Jamestown, ND
  • NPI 1891177200
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1699886457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 2ND AVE SW",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584014157",
            "telephone_number": "701-252-1661",
            "fax_number": "701-251-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 2ND AVE SW",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584014157",
            "telephone_number": "701-252-1661",
            "fax_number": "701-251-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "EDWARD",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "1559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40612",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "1559",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Ament, R.PH., PHARM.D.
• Kasey Ottilie Andersen
• Brady Wendell Anderson, PA
• Carrie Anderson
• Dennis O Anderson, LICSW
• Erin M Anderson
• Jason Anderson
• Kelly Anderson
• Roberta J Anderson, LAC
• Susan Jean Anderson, LCSW

• General Practice Dentistry in Jamestown, ND
• Providers in Jamestown, ND by specialty
• General Practice Dentistry in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.