Dale Michael Anderson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30013426 Issued in OH

Practice address

137 W Schrock Rd
Westerville, OH 43081-2831

Phone

(614) 882-6003

Fax

(614) 882-6244

NPI assigned

Nov 2, 2006

Last updated

Jul 8, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861571911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 MANITOU DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430819701",
            "telephone_number": "614-882-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 W SCHROCK RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812831",
            "telephone_number": "614-882-6003",
            "fax_number": "614-882-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DALE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30013426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andab Care LLC
• Lindsey Anders
• Sarah Andersen, ATC
• Alicia Anderson
• Charlotte C Anderson, LISW
• Donna Anderson
• Jessie Sheridan Anderson, CNP
• Jill Louetta Anderson, OT/L
• Laniya Anderson, RBT
• Larkin Anderson

• General Practice Dentistry in Westerville, OH
• Providers in Westerville, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.