Active NPI
John Anderson, DO
- Occupational Medicine Physician
- Addison, TX
National Provider Identifier
1720105083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 5101006875
- Practice address
- 5080 Spectrum Dr.
Suite 1200 West Tower
Addison, TX 75001 - Phone
- (800) 232-3550
- Fax
- (972) 387-8092
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 5101006875 | MI | Primary |
Addresses
Primary practice location
5080 Spectrum Dr.
Suite 1200 West Tower
Addison, TX 75001
Mailing address
5080 Spectrum Dr.
Suite 1200 West Tower
Addison, TX 75001
Phone (800) 232-3550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101006875 | MI | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427932800000",
"number": "1720105083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5080 SPECTRUM DR.",
"address_2": "SUITE 1200 WEST TOWER",
"city": "ADDISON",
"state": "TX",
"postal_code": "75001",
"telephone_number": "800-232-3550",
"fax_number": "972-387-8092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5080 SPECTRUM DR.",
"address_2": "SUITE 1200 WEST TOWER",
"city": "ADDISON",
"state": "TX",
"postal_code": "75001",
"telephone_number": "800-232-3550",
"fax_number": "972-387-8092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "JOHN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2015-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "MI",
"license": "5101006875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Addison, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.