NPIMap

Organization Active NPI

Anderson Dentistry PLLC

  • Dental Clinic/Center
  • Cannon Falls, MN
National Provider Identifier
1811687353
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ANDERSON DENTISTRY PLLC
Practice address
411 Main St W
Cannon Falls, MN 55009-2074
Phone
(507) 263-2411
NPI assigned
May 9, 2023
Last updated
May 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Authorized official

Name
Dr. Nicole Anderson, DDSNPI 1588394118
Title
Dentist/Owner
Phone
(507) 291-4913

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

411 Main St W
Cannon Falls, MN 55009-2074

Mailing address

411 Main St. W
PO Box 17
Cannon Falls, MN 55009
Phone (507) 263-2411

National Provider Directory

National Provider Directory

Locations

411 Main St W
Cannon Falls, MN 55009
Phone (507) 263-2411

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1811687353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MAIN ST. W",
            "address_2": "PO BOX 17",
            "city": "CANNON FALLS",
            "state": "MN",
            "postal_code": "55009",
            "telephone_number": "507-263-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MAIN ST W",
            "city": "CANNON FALLS",
            "state": "MN",
            "postal_code": "550092074",
            "telephone_number": "507-263-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "507-291-4913",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cannon Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.