J. Anderson DDS, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

J. ANDERSON DDS, INC

Doing business as

Vista Smiles

Practice address

1235 W Vista Way Ste K
Vista, CA 92083-6234

Phone

(661) 474-0880

NPI assigned

Apr 9, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Michael Anderson, DDS

Title

President

Phone

(661) 474-0880

Specialties & licenses 1

Addresses

Other names 1

• Vista Smiles Doing business as

Locations

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586390400000",
    "number": "1740809938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 WINDJAMMER WAY",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920083789",
            "telephone_number": "661-474-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 W VISTA WAY STE K",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836234",
            "telephone_number": "661-474-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. ANDERSON DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-09",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-474-0880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cristina Maria Irwin
• Donna Lynn Irwin, LM544
• Rachel Marie Irwin
• Ken Ray Iwaoka, MD
• J & Bee, an ABA Service Provider LLC
• Jennifer Anne Jablonski, MPT
• Robert C Jablonski, FAAOMPT
• Cynthia Monique Jackson, RDH
• Lara Jeanne Jackson, LMFT
• Natasha Jadav, CNS

• Dental Clinic/Center in Vista, CA
• Providers in Vista, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.