Robert E. Anderson, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

62403 Issued in CA

Practice address

4940 Van Nuys Blvd Ste 101
Sherman Oaks, CA 91403-1773

Phone

(818) 789-2200

NPI assigned

Aug 30, 2013

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

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.

• Robert E Anderson DMD, Inc

  • Endodontics
  • Hermosa Beach, CA
  • NPI 1336910934
  NPD Authorized official

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1952735524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14060 MARQUESAS WAY APT 2301",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902927499",
            "telephone_number": "503-704-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 VAN NUYS BLVD STE 101",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031773",
            "telephone_number": "818-789-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Pacific Coast Hwy Ste 201",
            "address_purpose": "LOCATION",
            "city": "Hermosa Beach",
            "state": "CA",
            "postal_code": "902542701",
            "country_code": "US",
            "telephone_number": "503-704-3957",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1138 N Brand Blvd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912022574",
            "country_code": "US",
            "telephone_number": "818-552-3636",
            "fax_number": "818-550-0636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ROBERT",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-30",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "62403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ancestral Home Health Care Providers, Inc.
• Angela Nicole Anderson
• Graison Anderson
• Joseph Arthur Tommy Anderson
• Roan Anderson
• Alesandra Andrade
• Victor Andrade
• Robert Grant Andreasen, LMFT
• Andrew Kochan MD a Professional Corporation
• Andrew M Fox MD Inc a Professional Medical Corporation

• Endodontics in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.