Ralph Lemus Anderson, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

0401003919 Issued in VA

Practice address

5500 Monument Ave
Suite R
Richmond, VA 23226-1452

Phone

(804) 285-9800

Fax

(804) 258-5711

NPI assigned

May 27, 2010

Last updated

May 27, 2010By 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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Ralph L. Anderson, D.D.S., LTD.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Richmond, VA
  • NPI 1932121688
  NPD (past) Authorized official

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274918400000",
    "number": "1881913010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MONUMENT AVE",
            "address_2": "SUITE R",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261452",
            "telephone_number": "804-285-9800",
            "fax_number": "804-258-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 MONUMENT AVE",
            "address_2": "SUITE R",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261452",
            "telephone_number": "804-285-9800",
            "fax_number": "804-258-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "RALPH",
        "middle_name": "LEMUS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401003919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VA007913702",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM HEALTHKEEPERS PLUS",
            "identifier": "003870",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "799259",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL DENTAQUEST",
            "identifier": "0007617",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Malerie Anderson
• Michele Rose Anderson, DO
• Mollie Anderson, NP
• Rachael Elaine Anderson, MS, LPC
• Ralph H.B. Anderson, DR.
• Regina Anderson, RBT
• Robert C. Anderson, M.D.
• Ryan Anderson, LPC
• Ryan Anderson, PHARMD
• Sandra Gedney Anderson, LPC

• Orthodontics and Dentofacial Orthopedics Dentistry in Richmond, VA
• Providers in Richmond, VA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.