Thomas E Anderson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901015391 Issued in MI

Practice address

1121 Ottawa Beach Road
Suite 100
Holland, MI 49424-2567

Phone

(616) 399-9520

Fax

(616) 399-0945

NPI assigned

Nov 2, 2007

Last updated

Nov 2, 2007By 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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1770762023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 OTTAWA BEACH ROAD",
            "address_2": "SUITE 100",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242567",
            "telephone_number": "616-399-9520",
            "fax_number": "616-399-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 OTTAWA BEACH ROAD",
            "address_2": "SUITE 100",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242567",
            "telephone_number": "616-399-9520",
            "fax_number": "616-399-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "THOMAS",
        "middle_name": "E",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901015391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Thomas Anderson
• Linda R Anderson, MS PT
• Matthew Anderson, RPH
• Molly Hunter Anderson
• Rebecca Naomi Anderson
• Maribel Andrade
• Mikaela Rose Andrea, LLMSW
• Sharon Andringa
• Angela Harris DDS PLLC
• Michelle Renee Anguiano, MSW

• Dentist in Holland, MI
• Providers in Holland, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.