James R. Anderson DMD, P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D7285 Issued in OR

Legal business name

JAMES R. ANDERSON DMD, P.C.

Practice address

19059 SE Division St
Gresham, OR 97030-5165

Phone

(503) 761-4711

Fax

(503) 761-4976

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James R. Anderson, DMD

Title

President

Phone

(503) 761-4711

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770628976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19059 SE DIVISION ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305165",
            "telephone_number": "503-761-4711",
            "fax_number": "503-761-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19059 SE DIVISION ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305165",
            "telephone_number": "503-761-4711",
            "fax_number": "503-761-4976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R. ANDERSON DMD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-761-4711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D7285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Gresham, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.