Steven E Anderson, DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D 1970 Issued in ID

Practice address

311 S Division Ave
Sandpoint, ID 83864-2710

Phone

(208) 263-7597

Fax

(208) 263-8845

NPI assigned

Jan 24, 2007

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Steven E. Anderson D.D.S., P.a.

  • Dentist
  • Sandpoint, ID
  • NPI 1962827022
  NPD (past) Authorized official
• Andrew F. Martinssen DDS, Inc. PC

  dba Sandpoint Dental Care

  • Dental Clinic/Center
  • Sandpoint, ID
  • NPI 1760201602
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1851446405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S DIVISION AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838642710",
            "telephone_number": "208-263-7597",
            "fax_number": "208-263-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S DIVISION AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838642710",
            "telephone_number": "208-263-7597",
            "fax_number": "208-263-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "STEVEN",
        "middle_name": "E",
        "credential": "DDS, PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D 1970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA",
            "identifier": "1970",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "48148",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BX",
            "identifier": "6253-9",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "D 1970",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED TAX ID",
            "identifier": "820487001",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS#",
            "identifier": "48148",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "62539",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• F. Blake Ambridge, DC.,DACNB
• American Oncology Partners, P.a. (Summit Cancer Centers)
• Ampersand Empire LLC (Momentum Medical Massage and Personal Training)
• Julie Anderson Dennis
• Michelle Marie Anderson, NP
• Andrew F. Martinssen DDS, Inc. PC (Sandpoint Dental Care)
• Apollo Med Anesthesia PLLC
• Janie Arambarri, MSW
• Susan Christine Arima, LIC. ACUPUNCTURITST
• Kristine Armstrong, LCSW

• General Practice Dentistry in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.