Brian Edward Anderson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901019979 Issued in MI

Practice address

125 N Pansy Street
Ishpeming, MI 49849

Phone

(906) 485-5575

Fax

(906) 485-1260

NPI assigned

Jun 18, 2009

Last updated

Nov 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Brian E. Anderson, D.D.S., PLLC

  • Dental Clinic/Center
  • Ishpeming, MI
  • NPI 1063796456
  Authorized official Same address or phone

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732924800000",
    "number": "1982831749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N PANSY STREET",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "49849",
            "telephone_number": "906-485-5575",
            "fax_number": "906-485-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N PANSY STREET",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "49849",
            "telephone_number": "906-485-5575",
            "fax_number": "906-485-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "BRIAN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-18",
        "last_updated": "2024-11-30",
        "certification_date": "2024-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019979",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Acquisition Bell Hospital LLC (UP Health System Bell)
• Acquisition Bell Hospital LLC (UP Health System Bell)
• Acquisition Bell Hospital LLC (Bell Hospital Pharmacy)
• Acquisition Bell Hospital LLC (UP Health System Bell)
• Pia Alhovaara, CRNA
• Grace R Anderson, CNCS, HHP, MCD
• Amber K Argall, M.A., CCC-SLP
• Andrew Lawrence Atkinson, M.D.
• Kimberly Ann Baker-Dobos, D.O.
• Kathleen Therese Barkley

• General Practice Dentistry in Ishpeming, MI
• Providers in Ishpeming, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.