Organization Active NPI

Donald S. Anderson, D.D.S., Inc.

  • Dental Clinic/Center
  • Fresno, CA
National Provider Identifier
1750896031
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
45426 Issued in CA
Legal business name
DONALD S. ANDERSON, D.D.S., INC.
Practice address
7789 N. Ingram Avenue
Suite 101
Fresno, CA 93711
Phone
(559) 222-3300
Fax
(559) 222-3332
NPI assigned
Dec 7, 2017
Last updated
Mar 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Dr. Donald Stuart Anderson, D.D.S.NPI 1962468652
Title
Ceo/President/Dentist
Phone
(559) 222-3300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 45426 CA Primary

Addresses

Primary practice location

7789 N. Ingram Avenue
Suite 101
Fresno, CA 93711

Mailing address

7789 N. Ingram Avenue
Suite 101
Fresno, CA 93711
Phone (559) 222-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260109000087 CA DME Supplier - Oral Surgery - Dentist 0244716231 Practice locations: Fresno, CA

National Provider Directory

National Provider Directory

Locations

3491 E Shields Ave
Fresno, CA 93726
Phone (470) 779-5503

7789 N Ingram Ave
Ste 101
Fresno, CA 93711
Phone (559) 222-3300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1750896031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7789 N. INGRAM AVENUE",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93711",
            "telephone_number": "559-222-3300",
            "fax_number": "559-222-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7789 N. INGRAM AVENUE",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93711",
            "telephone_number": "559-222-3300",
            "fax_number": "559-222-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD S. ANDERSON, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "CEO/PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "559-222-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "45426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.