Charles R Anderegg Jr., DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DE00006833 Issued in WA

Practice address

14655 Bel Red Rd
Suite 202
Bellevue, WA 98007-3900

Phone

(425) 747-7007

Fax

(425) 747-7342

NPI assigned

Oct 6, 2006

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 WA

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 and National Provider Directory roles.

• Charles R. Anderegg, Jr., DDS

  • Dentist
  • Bellevue, WA
  • NPI 1053764589
  NPD (past) Authorized official
• Rosemary Thomas, PLLC

  • Periodontics
  • Bellevue, WA
  • NPI 1821625989
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1942397435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14655 BEL RED RD",
            "address_2": "SUITE 202",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073900",
            "telephone_number": "425-747-7007",
            "fax_number": "425-747-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14655 BEL RED RD",
            "address_2": "SUITE 202",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073900",
            "telephone_number": "425-747-7007",
            "fax_number": "425-747-7342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDEREGG",
        "first_name": "CHARLES",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE00006833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eseosa Sophie-Ann Amuneke, RPH
• Sarah Haeeun An, DNP, ARNP, FNP-C
• Anabella Dental
• Megha Anand
• Anastasiya a. Lenskiy
• Christopher M Andersen, MD
• Stephen Christopher Andersen, DDS
• Adin Mitchell Anderson
• Adrienne M Anderson, LICSW
• Amber Faye Anderson, M.D.

• Periodontics in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Periodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.