Matthew R. Anderson, DMD, MSD, Inc

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

61202 Issued in CA

Legal business name

MATTHEW R. ANDERSON, DMD, MSD, INC

Practice address

1820 Sonoma Ave # 90
Suite B
Santa Rosa, CA 95405-6616

Phone

(707) 526-3303

Fax

(707) 526-1385

NPI assigned

May 1, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Matthew Ron Anderson, D.M.D., M.S.D.

Title

President

Phone

(707) 526-3303

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398902400000",
    "number": "1902216732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 SONOMA AVE # 90",
            "address_2": "SUITE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056616",
            "telephone_number": "707-526-3303",
            "fax_number": "707-526-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 SONOMA AVE # 90",
            "address_2": "SUITE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056616",
            "telephone_number": "707-526-3303",
            "fax_number": "707-526-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW R. ANDERSON, DMD, MSD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-01",
        "last_updated": "2014-05-01",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "RON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-526-3303",
        "authorized_official_credential": "D.M.D., M.S.D."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "61202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Ofelia Mathews, MA
• Bryan Andre Mathis
• Kathy Matonak, AU.D.
• Kent M Matsuda, M.D.
• Linda Kaye Matteson
• Chelsea Matthew, ATC
• Ayshia Indianne Matthews
• Chandra Matthews, R.D., C.D.E.
• Shakeara Oneasha Matthews, ASW
• Tyler Andrew Matthews, AMFT

• Prosthodontics in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Prosthodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; 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.