ANDERSON ORTHODONTICS (NPI# 1184896938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184896938 |
| Entity Type | Organization |
| Organization Name | ANDERSON ORTHODONTICS |
| Practice Address |
302 Valley Green Sq Le Sueur MN 56058-1943 |
| Mailing Address |
17570 Hackberry Ct Eden Prairie MN 55347-4271 |
| Practice Telephone | 5076653394 |
| Practice Fax Number | 5076654286 |
| Mailing Telephone | 9524867674 |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |
| Authorized Official Name | DR. JASON A ANDERSON (ORTHODONTIST) |
| Authorized Official Telephone | 5076653394 |
| Authorized Official Credential | DDS MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 9178768 | 05 |
| Street Address |
302 VALLEY GREEN SQ |
| City | LE SUEUR |
| State | MN |
| Zip Code | 56058-1943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891716445 | Jason A Anderson | Dentist | 302 Valley Green Sq, Le Sueur, MN 56058-1943 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265074173 | Madeline Teresa Stoltz | Technician | 219 Plum Run, Le Sueur, MN 56058 | 2019-10-11 |
| 1487807269 | Tiffany Marie Reinitz | Pharmacist | 204 Valleygreen Square, Lesueur, MN 56058 | 2008-10-24 |
| 1356546717 | David John Tycast | Dentist | 304 Valley Green Square, Le Sueur, MN 56058 | 2007-06-18 |
| 1497975536 | Lesueur Family Dental | Dentist | 304 Valleygreen Square, Lesueur, MN 56058 | 2007-04-30 |
| 1417037730 | Jeffrey Scott Mootz | Optometrist | 303 Valley Green Square, Le Sueur, MN 56058 | 2006-10-17 |
| 1487767521 | City of Lesueur | Ambulance | 601 South 5th St, Lesueur, MN 56058 | 2006-08-15 |
| 1447746789 | Stephanie Elizabeth Held | Physician Assistant | 625 S 4th St, Le Sueur, MN 56058 | 2018-07-10 |
| 1982866505 | Jonny Salim | Family Medicine | 625 S 4th St, Le Sueur, MN 56058 | 2008-06-25 |
| 1932268257 | Mootz Eye Clinic Pa | Eyewear Supplier (Equipment, not the service) | 303 Valley Green Square, Le Sueur, MN 56058 | 2006-12-06 |
| 1346713427 | Bradley Rose | Specialist/Technologist | 106 Foxborough Ln, Le Sueur, MN 56058-1606 | 2019-01-10 |
| Find all providers in zip 56058 | ||||
| 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 |
|---|---|---|---|---|
| 1891716445 | Jason A Anderson | Dentist | 302 Valley Green Sq, Le Sueur, MN 56058-1943 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100974 | Candid Minnesota, Pllc | Dentist | 15 S 9th St Ste 97, Minneapolis, MN 55402-3105 | 2020-09-23 |
| 1518572916 | Smile Orthodontics Stillwater LLC | Dentist | 2008 Ford Pkwy, Saint Paul, MN 55116-1931 | 2020-09-11 |
| 1508476482 | Sensational Smiles | Dentist | 950 Nicollet Mall Ste 220, Minneapolis, MN 55403-2534 | 2020-08-05 |
| 1457969636 | Eden Prairie Orthodontic Assoc | Dentist | 8200 Commonwealth Dr # 100, Eden Prairie, MN 55344-5365 | 2020-07-14 |
| 1164040457 | Colby Orthodontics LLC | Dentist | 9th St. and Nicollet Ave. Suite 531, Minneapolis, MN 55402 | 2020-07-13 |
| 1619595220 | Tracy Miao Liang | Dentist | 515 Delaware St Se # 320, Minneapolis, MN 55455-0357 | 2020-07-09 |
| 1477170108 | Jesse N Veil Dds Ms Pa | Dentist | 250 Fuller St S Ste 100, Shakopee, MN 55379-1324 | 2020-06-29 |
| 1124663067 | Bruce William Anderson | Dentist | 2725 Fox Farm Rd, Worthington, MN 56187-3040 | 2019-11-14 |
| 1598300675 | Dentalign, Pa | Dentist | 11942 Business Park Blvd, Champlin, MN 55316 | 2019-11-12 |
| 1528622883 | Margaret Therese Anderson | Dentist | 2019 Jefferson Rd Ste C, Northfield, MN 55057-3258 | 2019-04-23 |
| 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.