Johanna Heather Anderson, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

29331 Issued in TX

Practice address

5211 Forest LN Ste 123
Dallas, TX 75244-8003

Phone

(469) 466-8196

NPI assigned

Dec 4, 2013

Last updated

Jun 9, 2025By the provider in NPPES

Sex

Female

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 TX

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

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.

• Ramon Ruvalcaba Jr. DDS

  dba Texas Smile Dental Center

  • Dentist
  • Dallas, TX
  • NPI 1942300181
  NPD (past)

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1891126637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4418 CROOKED LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752294107",
            "telephone_number": "469-466-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 FOREST LN STE 123",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752448003",
            "telephone_number": "469-466-8196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JOHANNA",
        "middle_name": "HEATHER",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-04",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "29331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Briones Anderson, MS, APRN, FNP-BC
• Howard Eugene Anderson Jr., M.D.
• Ishael Anderson
• Jahi Kashka Anderson, M.D.
• Jason Anderson
• Judith-Ann Anderson, LPC
• Kaj Stevens Anderson
• Keanna Ashley Anderson, LVN
• Lacy Anderson, CCC-SLP
• Lareshea Meshay Anderson

• Dentist in Dallas, TX
• Providers in Dallas, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.