Individual provider Active NPI

Ralph H.B. Anderson, DR.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Richmond, VA
National Provider Identifier
1770669541
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
0401008749 Issued in VA
Practice address
5500 Monument Ave
Suite K
Richmond, VA 23226-1452
Phone
(804) 285-9800
Fax
(804) 285-5711
NPI assigned
Oct 27, 2006
Last updated
Dec 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 0401008749 VA Primary

Addresses

Primary practice location

5500 Monument Ave
Suite K
Richmond, VA 23226-1452

Mailing address

5500 Monument Ave
Suite K
Richmond, VA 23226-1452
Phone (804) 285-9800

Other identifiers 2

IdentifierTypeStateIssuer
9183338OtherVADORAL-VA MC DENTAL
9183338MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401008749VAMDOrthodontics and Dentofacial Orthopedic Dentist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1770669541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MONUMENT AVE",
            "address_2": "SUITE K",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261452",
            "telephone_number": "804-285-9800",
            "fax_number": "804-285-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 MONUMENT AVE",
            "address_2": "SUITE K",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261452",
            "telephone_number": "804-285-9800",
            "fax_number": "804-285-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "RALPH",
        "middle_name": "H.B.",
        "name_prefix": "Dr.",
        "credential": "DR.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401008749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL-VA MC DENTAL",
            "identifier": "9183338",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9183338",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.