Alan Arthur Anderson, DPD,CDT

Primary specialty

DenturistTaxonomy code 122400000X

License

DN00000119 Issued in WA

Practice address

1622 S Mildred St
Suite a
Tacoma, WA 98465-1610

Phone

(253) 588-2721

Fax

(253) 984-9366

NPI assigned

Jun 16, 2010

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alan a. Anderson Denture Specialist

  • Denturist
  • Tacoma, WA
  • NPI 1073242731
  NPD Authorized official

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1922329713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 S MILDRED ST",
            "address_2": "SUITE A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984651610",
            "telephone_number": "253-588-2721",
            "fax_number": "253-984-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 S MILDRED ST",
            "address_2": "SUITE A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984651610",
            "telephone_number": "253-588-2721",
            "fax_number": "253-984-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ALAN",
        "middle_name": "ARTHUR",
        "credential": "DPD,CDT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-16",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "WA",
            "license": "DN00000119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922329713",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@aaadentures.com",
            "affiliation": "N",
            "endpointDescription": "Business Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1622 S Mildred St",
            "address_2": "Suite A",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984651610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aarika Dawn Anderson Elter, DMD
• Joseph A Anderson-Gutierrez Jr., PSY.D.
• Lashawnda Dimitra Anderson-Ide
• Lynn Anderson-Oppelt
• Adelaide Lenore Anderson
• Alice W Anderson, REGISTERED NURSE
• Anna A. Anderson, LPN
• Antonio Marcus Anderson
• Ashaniece Anderson, AAC
• Barbra May Anderson

• Denturist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Denturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.