Justin Anderson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11088 Issued in TN

Practice address

2306 Medical Center Pkwy Ste B5
Murfreesboro, TN 37129-3773

Phone

(615) 560-1990

NPI assigned

Jul 11, 2019

Last updated

Jul 11, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Murfreesboro Modern Dentistry, PC

  dba Murfreesboro Modern Dentistry

  • Dentist
  • Murfreesboro, TN
  • NPI 1750890265
  NPD (past)

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1760034516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 11TH AVE S APT 407",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372034073",
            "telephone_number": "270-484-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 MEDICAL CENTER PKWY STE B5",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293773",
            "telephone_number": "615-560-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "11088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Demesha Antwanette Anderson, NURSE PRACTITIONER
• Elizabeth Caskey Anderson, AU.D
• George Anderson Jr., SOCIAL WORKER
• Jennifer Lynn Anderson, APRN-BC, ACUTE CARE
• Jonathon Logan Anderson, DO
• Margaret Anderson, MED
• Nina Gabrielle Johnson Anderson, LPN
• Philip Anderson, RN
• Ryan Anderson, L.AC.
• Sarah Rochelle Anderson

• General Practice Dentistry in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.