Kevin Scott Anderson, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D13582 Issued in MN

Practice address

1075 Hadley Ave N
Oakdale, MN 55128-5951

Phone

(651) 731-2141

NPI assigned

Jun 30, 2015

Last updated

Jun 30, 2015By 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

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Kevin Anderson DMD PLCC

  dba All Family Dental

  • Dental Clinic/Center
  • Oakdale, MN
  • NPI 1902443625
  NPD (past) Authorized official
• All Famliy Dental

  • General Practice Dentistry
  • Oakdale, MN
  • NPI 1497929947
  NPD (past)

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1861875650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 HADLEY AVE N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 HADLEY AVE N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285951",
            "telephone_number": "651-731-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KEVIN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D13582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Althea Medical Group - Oakdale
• Ambulatory Neurological Services, LLC
• Amen Home Care Provider LLC
• Amy Brown Counseling Services, LLC
• Erin Kristine Anderson, LICSW
• Zachary Jerome Anderson, DO
• Dina M Andreotti, MD
• Maria Andrew, BA
• Matthew Joseph Arbeiter, P.T.
• Arvold Chiropractic

• General Practice Dentistry in Oakdale, MN
• Providers in Oakdale, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.