Active NPI
Deron Anders
- Contractor
- Dallas, TX
National Provider Identifier
1992696264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- WWK0154
- Practice address
- 8416 Capriola LN # 4
Dallas, TX 75228-4926 - Phone
- (682) 564-2270
- NPI assigned
- Jul 14, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | WWK0154 | TX | |
| Contractor | 171W00000X | WWK0154 | TX | Primary |
Addresses
Primary practice location
8416 Capriola LN # 4
Dallas, TX 75228-4926
Mailing address
8416 Capriola LN # 4
Dallas, TX 75228-4926
Phone (682) 564-2270
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 |
|---|---|---|---|
| WWK0154 | TX | MD | Private Vehicle |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752451200000",
"number": "1992696264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8416 CAPRIOLA LN # 4",
"city": "DALLAS",
"state": "TX",
"postal_code": "752284926",
"telephone_number": "682-564-2270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8416 CAPRIOLA LN # 4",
"city": "DALLAS",
"state": "TX",
"postal_code": "752284926",
"telephone_number": "682-564-2270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERS",
"first_name": "DERON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-07-14",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "TX",
"license": "WWK0154",
"primary": false
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "TX",
"license": "WWK0154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.