Active NPI
Donald Stuart Anderson, D.D.S.
- General Practice Dentistry
- Fresno, CA
National Provider Identifier
1962468652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 45426
- Practice address
- 7789 N. Ingram Avenue
Suite 101
Fresno, CA 93711 - Phone
- (559) 222-3300
- Fax
- (559) 222-3332
- NPI assigned
- Apr 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 45426 | CA | Primary |
Addresses
Primary practice location
7789 N. Ingram Avenue
Suite 101
Fresno, CA 93711
Mailing address
7789 N. Ingram Avenue
Suite 101
Fresno, CA 93711
Phone (559) 222-3300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45426 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Donald S. Anderson, D.D.S., Inc. | Current | Accepting new patients |
Locations
7789 N Ingram Ave
Ste 101
Fresno, CA 93711
Phone (559) 222-3300
3491 E Shields Ave
Fresno, CA 93726
Phone (470) 779-5503
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Fresno, CA
- NPI 1750896031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679875200000",
"number": "1962468652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7789 N. INGRAM AVENUE",
"address_2": "SUITE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "93711",
"telephone_number": "559-222-3300",
"fax_number": "559-222-3332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7789 N. INGRAM AVENUE",
"address_2": "SUITE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "93711",
"telephone_number": "559-222-3300",
"fax_number": "559-222-3332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "DONALD",
"middle_name": "STUART",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-22",
"last_updated": "2023-03-27",
"certification_date": "2023-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "45426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.