ROBERT ANDERSON (NPI# 1033505193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033505193 |
| Entity Type | Individual |
| Full Name | ROBERT ANDERSON |
| Credential | D.D.S.LTD |
| Practice Address |
2490 Pruden Blvd Suffolk VA 23434-4206 |
| Practice Telephone | 7579343000 |
| Practice Fax Number | 7579341200 |
| Mailing Telephone | 7579343000 |
| Mailing Fax Number | 7579341200 |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2015-04-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
401004978 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942779004 | Robert J Anderson | Behavior Technician | 11898 S Hidden Valley Dr, Sandy, UT 84094-5735 | 2018-11-19 |
| 1538689401 | Robert Michael Anderson | Counselor | 434 Graves Mill Rd Ste 1, Lynchburg, VA 24502-5398 | 2017-06-22 |
| 1083142251 | Robert Owen Anderson | Optometrist | 15160 Foliage Ave Ste 180, Apple Valley, MN 55124-5916 | 2017-05-31 |
| 1588058861 | Robert Anderson | Psychiatry & Neurology | 209 Walnut St, San Francisco, CA 94118-2012 | 2015-03-24 |
| 1861803504 | Robert Anderson | Licensed Practical Nurse | 1474 Bonner Way, Estill Springs, TN 37330-4080 | 2014-05-15 |
| 1861803694 | Robert Jeffrey Anderson | Licensed Practical Nurse | 138 Pelican Cove Dr, Rockwall, TX 75087-4634 | 2014-05-14 |
| 1497016539 | Robert B Anderson IIi | Physical Therapist | 51 Weston St, Nutley, NJ 07110-2845 | 2012-06-05 |
| 1902197890 | Robert Kyle Anderson | Respiratory Therapist, Registered | 8509 Benjamin Rd Ste D, Tampa, FL 33634-1224 | 2011-04-26 |
| 1912233016 | Robert Charles Anderson | Chiropractor | 12234 W Cambridge Ave, Avondale, AZ 85392-5519 | 2009-10-23 |
| 1215195078 | Robert Martin Anderson | Dentist | 201 Station Way, Arroyo Grande, CA 93420 | 2008-05-29 |
| Street Address |
2490 PRUDEN BLVD |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23434-4206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356567010 | Jerry Carl Clarke | Dentist | 2490 Pruden Blvd, Suffolk, VA 23434-4206 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235780255 | Chiquita Savage | Home Health | You 1st Healthcare, 112 West Washington Street Suite 502, Suffolk, VA 23434 | 2019-09-20 |
| 1912561713 | Revivication Counseling Services | Counselor | 814 Cripple Creek Lane, Suffolk, VA 23434 | 2019-04-26 |
| 1558826958 | Nita Jenkins | Non-emergency Medical Transport (VAN) | 707 Gittings St. Suite 105, Suffolk, VA 23434 | 2019-02-10 |
| 1730660952 | Latrese L Riddick | Driver | 418 Jackson St, Suffolk, VA 23434 | 2018-08-25 |
| 1114411279 | Percilla D Zeno | Community Health Worker | 102 Niblick Cir, Suffolk, VA 23434 | 2018-06-21 |
| 1437652765 | Aprele Gaddie | Health Educator | 2769 Godwin Boulevard, Suffolk, VA 23434 | 2018-03-13 |
| 1598284283 | Domonic Teheran Scott | Driver | 102 Brewer Ave, Suffolk, VA 23434 | 2017-09-13 |
| 1578089397 | Nakia Shantel Francis | Nurse Practitioner | 2970 Godwin Blvd, Suite 320, Suffolk, VA 23434 | 2017-08-15 |
| 1679093009 | Daisy Mae Aba, LLC | Behavioral Analyst | 3212 Clearcreek Rd., Suffolk, VA 23434 | 2017-06-27 |
| 1114457736 | Better Care Family Homes | Day Training, Developmentally Disabled Services | 813 West Washington Street, Suffolk, VA 23434 | 2017-06-15 |
| Find all providers in zip 23434 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548527021 | Thomas T Taylor | Dentist | 1530 Breezeport Way, Suite 500, Suffolk, VA 23435-3753 | 2012-04-20 |
| 1780955773 | Kulnis Orthodontics, P.C. | Dentist | 1530 Breezeport Way Ste 500, Suffolk, VA 23435-3756 | 2012-01-23 |
| 1740463819 | Monica Woodard | Dentist | 5833 Harbour View Blvd, Suite A, Suffolk, VA 23435 | 2007-12-12 |
| 1215157706 | Robert E Anderson Dds Ltd | Dentist | 2490 Pruden Boulevard, Suffolk, VA 23434 | 2007-04-26 |
| 1316955735 | Steven Paul Hearne | Dentist | 1034 Hillpoint Blvd, Suffolk, VA 23434-8272 | 2006-08-03 |
| 1902145998 | Taylor Orthodontics Pllc | Dentist | 1530 Breezeport Way Ste 500, Suffolk, VA 23435-3756 | 2013-02-11 |
| 1366628182 | Monica Woodard Dds Mds PC | Dentist | 5833 Harbour View Blvd, Suite A, Suffolk, VA 23435-2657 | 2008-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841804911 | Justin Groody | Dentist | 900 N 24th St, Richmond, VA 23223-6412 | 2020-09-04 |
| 1609484047 | Nicholas Mcchesney Lynch | Dentist | 520 N 12th St Rm 111, Richmond, VA 23298-5064 | 2020-07-22 |
| 1861021131 | Bailey Orthodontics Pllc | Dentist | 16446 Navigation Drive, Woodbridge, VA 22191 | 2020-04-07 |
| 1649813163 | Ki Youn Kil | Dentist | 800 W Broad St Ste 307, Falls Church, VA 22046-3145 | 2019-10-28 |
| 1811548605 | Morgan Orthodontics | Dentist | 1841 Plaza Dr, Winchester, VA 22601-6365 | 2019-09-24 |
| 1770140030 | M Kent Kiser, Dds, Ltd | Dentist | 1151 E Main St Ste C, Radford, VA 24141-1761 | 2019-05-22 |
| 1679137608 | Deirdre Maull | Dentist | 6845 Elm St Ste 505, Mc Lean, VA 22101-3822 | 2019-04-25 |
| 1629541560 | C William Dabney, PC | Dentist | 304 Browns Hill Ct, Midlothian, VA 23114-9511 | 2019-01-03 |
| 1356819981 | Novicare Orthodontics Pllc | Dentist | 717 Pendleton St, Alexandria, VA 22314-1820 | 2018-11-13 |
| 1912473505 | Jessica Thai | Dentist | 25055 Riding Plz Ste 110, Chantilly, VA 20152-5918 | 2018-10-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.