Organization Active NPI

Steven E. Anderson D.D.S., P.a.

  • Dentist
  • Sandpoint, ID
National Provider Identifier
1962827022
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1970 Issued in ID
Legal business name
STEVEN E. ANDERSON D.D.S., P.A.
Practice address
311 S Division Ave
Sandpoint, ID 83864-2710
Phone
(208) 263-7597
Fax
(208) 263-8845
NPI assigned
Feb 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Steven Eugene Anderson, D.D.S.NPI 1851446405
Title
President
Phone
(208) 263-7597

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 1970 ID Primary

Addresses

Primary practice location

311 S Division Ave
Sandpoint, ID 83864-2710

Mailing address

311 S Division Ave
Sandpoint, ID 83864-2710
Phone (208) 263-7597

National Provider Directory

National Provider Directory

Locations

311 S Division Ave
Sandpoint, ID 83864
Phone (208) 263-7597

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1962827022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S DIVISION AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838642710",
            "telephone_number": "208-263-7597",
            "fax_number": "208-263-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S DIVISION AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838642710",
            "telephone_number": "208-263-7597",
            "fax_number": "208-263-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN E. ANDERSON D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-263-7597",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "ID",
            "license": "1970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandpoint, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.