Active NPI
Brian Michael Andersen, D.D.S.
- General Practice Dentistry
- Cedar Falls, IA
National Provider Identifier
1740439843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 08759
- Practice address
- 3217 Cedar Heights Dr
Cedar Falls, IA 50613-6039 - Phone
- (319) 277-6921
- NPI assigned
- Sep 12, 2008
- Last updated
- Aug 3, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6295 | WI | |
| General Practice Dentistry | 1223G0001X | 08759 | IA | Primary |
Addresses
Primary practice location
3217 Cedar Heights Dr
Cedar Falls, IA 50613-6039
Mailing address
3217 Cedar Heights Dr
Cedar Falls, IA 50613-6039
Phone (319) 277-6921
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160112002019 | IA | Order and Referring Only - Dentist | 7517269269 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08759 | IA | MD | General Practice Dentistry |
| 6295 | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kimball and Beecher PLLC | General Practice | Past | Accepting new patients |
| Amy Hartmann Eye Care, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Cedar Falls, IA
- NPI 1508102153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280793600000",
"number": "1740439843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3217 CEDAR HEIGHTS DR",
"city": "CEDAR FALLS",
"state": "IA",
"postal_code": "506136039",
"telephone_number": "319-277-6921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3217 CEDAR HEIGHTS DR",
"city": "CEDAR FALLS",
"state": "IA",
"postal_code": "506136039",
"telephone_number": "319-277-6921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSEN",
"first_name": "BRIAN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-12",
"last_updated": "2010-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "6295",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "08759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Falls, IA
- All Smiles Family Dentistry
- Dominic Allan, D.O.
- Allen Memorial Hospital Corporation (Prairie Parkway Pharmacy)
- Always Best Care of the Cedar Valley, Inc,
- Amy Hartmann Eye Care, LLC (Amy Hartmann Eye Care)
- Anderson Counseling Associates, P.C.
- Nicholas Anderson
- Susan Elizabeth Anderson, MA, CCC-SLP
- Nicholas Andert
- Anthony D Bailey OD PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.