Active NPI
Jonathan Scott Anderson, D.D.S.
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1902848955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 15690
- Practice address
- 17350 State Highway 249
Ste 200
Houston, TX 77064-1147 - Phone
- (281) 469-8026
- NPI assigned
- Jun 12, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 15690 | TX | Primary |
Addresses
Primary practice location
17350 State Highway 249
Ste 200
Houston, TX 77064-1147
Mailing address
17350 State Highway 249
Ste 200
Houston, TX 77064-1147
Phone (281) 469-8026
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 |
|---|---|---|---|
| 15690 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339632000000",
"number": "1902848955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17350 STATE HIGHWAY 249",
"address_2": "STE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770641147",
"telephone_number": "281-469-8026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17350 STATE HIGHWAY 249",
"address_2": "STE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770641147",
"telephone_number": "281-469-8026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "JONATHAN",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2012-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "15690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.