Andrew Richard Anderson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D9325 Issued in MN

Practice address

3939 W 50TH St
Suite 210
Edina, MN 55424-1244

Phone

(952) 922-5561

Fax

(952) 922-8214

NPI assigned

Aug 12, 2006

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Enrolled in MN

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

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.

• 50TH and France Dental Care, P.a.

  • General Practice Dentistry
  • Edina, MN
  • NPI 1194885491
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922010750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 W 50TH ST",
            "address_2": "SUITE 210",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241244",
            "telephone_number": "952-922-5561",
            "fax_number": "952-922-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 W 50TH ST",
            "address_2": "SUITE 210",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241244",
            "telephone_number": "952-922-5561",
            "fax_number": "952-922-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ANDREW",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D9325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil Anand, M.D.
• Anderson Oncologic Services LLC
• Allie Anderson, RN
• Andrew Jon Anderson, D.O.
• Andrew Mark Anderson, PA-C
• Anne R Anderson, RNFA
• Clover Allison Anderson, M.ED., BCBA
• Craig B Anderson, MD
• David Ryan Anderson, MD
• Elizabeth Lauren Anderson, LICSW

• General Practice Dentistry in Edina, MN
• Providers in Edina, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.