Douglas Robert Anderson, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

30-01-4637 Issued in OH

Practice address

141 S 6TH St
Columbus, OH 43215-4607

Phone

(614) 224-1942

Fax

(614) 224-1527

NPI assigned

Aug 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Snyder & Anderson, Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Columbus, OH
  • NPI 1295848893
  NPD (past) Authorized official

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700999026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 S 6TH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154607",
            "telephone_number": "614-224-1942",
            "fax_number": "614-224-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 S 6TH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154607",
            "telephone_number": "614-224-1942",
            "fax_number": "614-224-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DOUGLAS",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30-01-4637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0320325",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cyrillia Lucille Anderson
• Daveda T Anderson, CDCA
• Deborah Jean Anderson
• Denissa Ann Whittington Anderson, LPCC
• Doniqua Anderson
• Ellen Leigh Anderson, NNP-BC
• Eric Dean Anderson, PHD, CRC
• Glenda Gean Anderson
• Hope Anderson, R.N.
• Hope M Anderson

• Oral and Maxillofacial Surgery (Dentist) in Columbus, OH
• Providers in Columbus, OH by specialty
• Oral and Maxillofacial Surgery (Dentist) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.