Chad J. Anderson D.M.D. Inc

Primary specialty

DentistTaxonomy code 122300000X

License

52822 Issued in CA

Legal business name

CHAD J. ANDERSON D.M.D. INC

Practice address

9497 N. Fort Washington Rd.
Suite 106
Fresno, CA 93730

Phone

(559) 434-1088

Fax

(559) 434-1799

NPI assigned

Jun 20, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Chad J. Anderson, DMD

Title

Owner

Phone

(559) 434-1096

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1821384785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9497 N FORT WASHINGTON RD",
            "address_2": "SUITE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937300606",
            "telephone_number": "559-434-1096",
            "fax_number": "559-434-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9497 N. FORT WASHINGTON RD.",
            "address_2": "SUITE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93730",
            "telephone_number": "559-434-1088",
            "fax_number": "559-434-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD J. ANDERSON D.M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-20",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-434-1096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "52822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuna Marie Cha
• Nicolas Chac Valdivia
• Cindy Chac
• Quetzalsol Felipe Chacon-Lopez, M.D., M.P.H.
• Jessie Chacon
• Chad J. Anderson Dental Corporation
• Stephanie Alise Chadwick
• Sung Chae, M.D.
• Rachel Ann Chaffin, A.A. DEGREE
• Stacy Lynn Chaffin, P.T.

• Dentist in Fresno, CA
• Providers in Fresno, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.