Alexis Lee Anderson, RDH, BSDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

RDH33066 Issued in CA

Practice address

Nab Dental and Medical Clinic 3538 Bougainville Rd
San Diego, CA 92155-0001

Phone

(559) 805-1334

NPI assigned

Sep 16, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1982326849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7655 SAN MIGUEL AVE",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919452814",
            "telephone_number": "952-200-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAB DENTAL AND MEDICAL CLINIC 3538 BOUGAINVILLE RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921550001",
            "telephone_number": "559-805-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ALEXIS",
        "middle_name": "LEE",
        "credential": "RDH, BSDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MN",
            "license": "H10364",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "RDH33066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Lin Anderson-Cera
• Adriana Anderson, BCBA
• Alexandra Anderson
• Alexandra Anderson
• Alexis Kiana Anderson
• Amy Lynn Anderson, LCSW
• Anna V Anderson
• Ariel A Anderson
• Artherlene Anderson, RN
• Ashley Anderson

• Dental Hygienist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.