Anne Pedersen DDS Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

ANNE PEDERSEN DDS INC

Doing business as

Mariposa Pediatric Dentistry

Practice address

1414 S Miller St Ste J
Santa Maria, CA 93454-6915

Phone

(805) 922-9626

NPI assigned

Jan 24, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Anne C Pedersen, DDSNPI 1386059103

Title

Owner/Dentist

Phone

(805) 922-9626

Specialties & licenses 1

Addresses

Other names 1

• Mariposa Pediatric Dentistry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anne Pedersen, D.D.S.

  • Pediatric Dentistry
  • Santa Maria, CA
  • NPI 1386059103
  NPD Authorized official

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

{
    "created_epoch": "1611446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611446400000",
    "number": "1750971719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 S MILLER ST STE J",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546915",
            "telephone_number": "805-922-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 S MILLER ST STE J",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546915",
            "telephone_number": "805-922-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE PEDERSEN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-24",
        "last_updated": "2021-01-24",
        "certification_date": "2021-01-24",
        "status": "A",
        "authorized_official_last_name": "PEDERSEN",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "805-922-9626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mariposa Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Andrews, PA
• Anesthesia Medical Group of Santa Maria Inc
• Jacqueline Angeles Martinez
• Matthew E Anjner
• Anka Behavioral Health Incorporated (Anka Santa Maria CRT)
• Annelie S Purdy PHD Inc
• Antaki Hourany DDS Inc (Coast Dental Practice)
• Chloe Anticouni
• Francis Dante Antigua, NP
• Anjaline June Aparicio, CMT, RN

• Pediatric Dentistry in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2021; 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.