Stephen Christopher Andersen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60014812 Issued in WA

Practice address

1 Lake Bellevue Dr
Ste 108
Bellevue, WA 98005-2417

Phone

(425) 453-2030

NPI assigned

Sep 13, 2007

Last updated

Jul 14, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lake Bellevue Dental Care, Inc

  • General Practice Dentistry
  • Bellevue, WA
  • NPI 1407291537
  NPD (past) Authorized official

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1942495841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LAKE BELLEVUE DR",
            "address_2": "STE 108",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052417",
            "telephone_number": "425-453-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LAKE BELLEVUE DR",
            "address_2": "STE 108",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052417",
            "telephone_number": "425-453-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "STEPHEN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-13",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60014812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anabella Dental
• Megha Anand
• Anastasiya a. Lenskiy (Bellevue Natural Medicine)
• Charles R Anderegg Jr., DDS
• Christopher M Andersen, MD
• Adin Mitchell Anderson
• Adrienne M Anderson, LICSW
• Amber Faye Anderson, M.D.
• Arthur Eric Anderson, M.D.
• Aurora Anderson

• General Practice Dentistry in Bellevue, WA
• Providers in Bellevue, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.