Active NPI
Erik David Anderson, D.D.S
- Dentist
- San Diego, CA
National Provider Identifier
1881972867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DT 2624
- Practice address
- Comnavsurfpac 2841 Rendova Rd
San Diego, CA 92155-2261 - Phone
- (619) 437-2860
- NPI assigned
- Jul 25, 2011
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 60424 | CA | |
| Dentist | 122300000X | DT 2624 | HI | Primary |
Addresses
Primary practice location
Comnavsurfpac 2841 Rendova Rd
San Diego, CA 92155-2261
Mailing address
91-902 Fort Weaver Rd Ste 208
Ewa Beach, HI 96706-2261
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT 2624 | HI | MD | Dentist |
| 60424 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751068800000",
"number": "1881972867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91-902 FORT WEAVER RD STE 208",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "967062261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COMNAVSURFPAC 2841 RENDOVA RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921552261",
"telephone_number": "619-437-2860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "ERIK",
"middle_name": "DAVID",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-25",
"last_updated": "2025-06-28",
"certification_date": "2025-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "60424",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "HI",
"license": "DT 2624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.