Thomas W. Anderson

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

THOMAS W. ANDERSON

Practice address

11237 Foley Blvd. NW
Coon Rapids, MN 55448

Phone

(763) 757-3120

Fax

(763) 757-5161

NPI assigned

Nov 23, 2006

Organization subpart

No

Name

Mr. Richard Gerard Battaglia, D.D.S.

Title

Owner/Dentist

Phone

(763) 757-1234

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 9, 2013.

{
    "created_epoch": "1164240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1710052691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11237 FOLEY BLVD. NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "55448",
            "telephone_number": "763-757-3120",
            "fax_number": "763-757-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11237 FOLEY BLVD. NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "55448",
            "telephone_number": "763-757-3120",
            "fax_number": "763-757-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS W. ANDERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-23",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "BATTAGLIA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "763-757-1234",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "7054",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.