Ryan Christopher Anderson, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

0401411066 Issued in VA

Practice address

1927 Thomson Dr
Lynchburg, VA 24501-1008

Phone

(434) 846-5229

Fax

(434) 846-5220

NPI assigned

Feb 5, 2007

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 VA

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

Locations

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.

• Lynchburg Periodontics PLLC

  dba Periodontal Health Associates PC

  • Periodontics
  • Lynchburg, VA
  • NPI 1164238259
  NPD Authorized official
• Periodontal Health Associates

  • Periodontics
  • Lynchburg, VA
  • NPI 1326371048
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942349329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 JUDD CT",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245014080",
            "telephone_number": "434-942-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 THOMSON DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011008",
            "telephone_number": "434-846-5229",
            "fax_number": "434-846-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "RYAN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "VA",
            "license": "0401411066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy Q Anderson, O.D.
• Gina Maria Anderson, LPC
• Justin Darrell Anderson, M.D.
• Richard Galon Anderson II, M.A.
• Robert Michael Anderson, LPC, ACS
• Tammy Anderson
• Bruno Elias Andrade, RPH
• Raymond W Andrews III, MA, CCC-SLP
• William Andrews
• William C Andrews, MD

• Periodontics in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Periodontics in Virginia

• 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.