Margaret Jo Anderson, CDA, EFDA

Primary specialty

Dental AssistantTaxonomy code 126800000X

Practice address

12711 SE Mill Plain Blvd
Vancouver, WA 98684-6053

Phone

(360) 896-4484

Fax

(360) 896-4489

NPI assigned

Feb 6, 2007

Last updated

Jul 20, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Maggie Jo Anderson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Kaiser Permanente Dental Care Program

  • Dental Hygienist
  • Vancouver, WA
  • NPI 1043224678
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184889600000",
    "number": "1982743670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12711 SE MILLPLAIN DR.",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846054",
            "telephone_number": "360-896-4484",
            "fax_number": "360-896-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12711 SE MILL PLAIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846053",
            "telephone_number": "360-896-4484",
            "fax_number": "360-896-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MARGARET",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "CDA, EFDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGGIE",
            "last_name": "ANDERSON",
            "middle_name": "JO",
            "prefix": "MS.",
            "credential": "CDA,EFDA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kirstie Anderson, D.P.T.
• Lauren L Anderson, DNP, FNP-BC
• Lauren Nicole Anderson, PT, DPT
• Lynn Anderson, RN
• Mackenzie Graham Anderson, DO
• Margret Lillias Anderson, LCSW
• Mark Anderson, MD
• Matthew Ross Anderson, D.M.D.
• Melanie Anderson
• Micah Franklin Anderson, NP

• Dental Assistant in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Dental Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.