Active NPI
Steven Andrew Anderson, D.M.D.
- Oral & Maxillofacial Surgery (D.M.D.)
- London, KY
National Provider Identifier
1861599201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 6656
- Practice address
- 1675 South Main Street
Laurel Medical Center, Lower Level
London, KY 40741 - Phone
- (606) 878-6126
- Fax
- (606) 878-0840
- NPI assigned
- Sep 20, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 6656 | KY | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 6656 | KY | Primary |
Addresses
Primary practice location
1675 South Main Street
Laurel Medical Center, Lower Level
London, KY 40741
Mailing address
1675 South Main Street
Laurel Medical Center, Lower Level
London, KY 40741
Phone (606) 878-6126
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2015 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Oral and Maxillofacial Surgery Associates | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Oral and Maxillofacial Surgery Clinic/Center
- London, KY
- NPI 1528331642
-
- Oral and Maxillofacial Surgery (Dentist)
- Corbin, KY
- NPI 1629180252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1861599201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1675 SOUTH MAIN STREET",
"address_2": "LAUREL MEDICAL CENTER, LOWER LEVEL",
"city": "LONDON",
"state": "KY",
"postal_code": "40741",
"telephone_number": "606-878-6126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 SOUTH MAIN STREET",
"address_2": "LAUREL MEDICAL CENTER, LOWER LEVEL",
"city": "LONDON",
"state": "KY",
"postal_code": "40741",
"telephone_number": "606-878-6126",
"fax_number": "606-878-0840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "STEVEN",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "KY",
"license": "6656",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "KY",
"license": "6656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in London, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.