MR. JOHN ANDERSON (NPI# 1366560302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366560302 |
| Entity Type | Individual |
| Full Name | MR. JOHN ANDERSON |
| Credential | LD |
| Practice Address |
4408 Pacific Ave Se Lacey WA 98503-1119 |
| Practice Telephone | 3604388299 |
| Practice Fax Number | 3604381399 |
| Mailing Telephone | 3604388299 |
| Mailing Fax Number | 3604381399 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122400000X | Denturist | 260 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386251551 | John David Anderson | In Home Supportive Care | 6904 Joseph Drive, Enon, OH 45323-1448 | 2020-09-30 |
| 1689207433 | John William Anderson | Pharmacist | 5580 Hwy 70, Marshall, NC 28753 | 2020-02-20 |
| 1760956197 | John Elmer Anderson | Specialist/Technologist | 2201 University Dr, Lemont Furnace, PA 15456-1025 | 2019-01-18 |
| 1780123216 | John Fred Anderson Jr. | Student in an Organized Health Care Education/Training Program | 17093 Palisades Cir, Pacific Palisades, CA 90272-2139 | 2017-02-16 |
| 1588080147 | John Anderson | Obstetrics & Gynecology | 520 Campus Rd, Wyomissing, PA 19610-2216 | 2014-03-06 |
| 1033457809 | John Charles Anderson | Hearing Instrument Specialist | 116 Pennton Ave Sw Ste D, Lenoir, NC 28645-4377 | 2013-01-29 |
| 1093008138 | John Anderson | Acupuncturist | 7427 Se Woodstock Blvd, Portland, OR 97206-5838 | 2011-05-24 |
| 1649578212 | John Littleton Anderson V | Marriage & Family Therapist | 4908 Valley Ridge Ave, Los Angeles, CA 90043-1029 | 2011-03-07 |
| 1770880817 | John Edward Anderson Jr. | Psychologist | 6600 Beachview Dr, 400, Rancho Palos Verdes, CA 90275-5877 | 2011-02-25 |
| 1235435637 | John David Anderson | Urology | 4469 Green Valley Road, Fairfield, CA 94534-1365 | 2011-02-02 |
| Street Address |
4408 PACIFIC AVE SE |
| City | LACEY |
| State | WA |
| Zip Code | 98503-1119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679667760 | Raymond Clyde Winters | Dentist | 4408 Pacific Ave Se, Lacey, WA 98503-1119 | 2006-10-03 |
| 1477910875 | George Barr | Denturist | 4408 Pacific Ave Se, Lacey, WA 98503-1119 | 2016-01-15 |
| 1508195777 | Youni Beale | Technician, Other | 4408 Pacific Ave Se, Lacey, WA 98503-1119 | 2009-12-16 |
| 1780733204 | Olympic Dental Center, LLC | Clinic/Center | 4408 Pacific Ave Se, Lacey, WA 98503-1119 | 2007-01-10 |
| 1194811844 | Tammy M Eckart | Dentist | 4408 Pacific Ave Se, Lacey, WA 98503-1119 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457838989 | Michele Nordgren Bourque | Psychologist | 4329 Concordia Lane Se, Lacey, WA 98503 | 2018-07-26 |
| 1831638675 | Trevor John Marum | Chiropractor | 3945 8th Ave Se, Lacey, WA 98503 | 2017-02-13 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1144683616 | Millenda Thomas | Registered Nurse | 1233 Firpark Dr. S.e., Lacey, WA 98503 | 2016-04-01 |
| 1609257245 | Erika Charlotte Vonkotzebue | Counselor | 4401 37th Ave. Se #25, Lacey, WA 98503 | 2015-06-09 |
| 1437576196 | Candy Nelson | Registered Nurse | 4410 6th Ave Se, Apt# 115, Lacy, WA 98503 | 2014-03-19 |
| 1134563919 | Alvin Fitzgerald | Pharmacist | 665 Sleater Kinney Rd., S.e, Target Pharmacy #1355, Lacey, WA 98503 | 2013-04-23 |
| 1518200724 | Katherine Mary Marsh | Psychologist | 5191 Corporate Center Court Se, Lacey, WA 98503 | 2013-04-05 |
| 1740530906 | Leanna Marie Mcbroom | Massage Therapist | 1608 Diamond Loop Se, Lacey, WA 98503 | 2012-09-14 |
| 1831445196 | Joyce Emily Christensen Coniff | Counselor | 5706 39th Ave Se., Lacey, WA 98503 | 2012-07-24 |
| Find all providers in zip 98503 | ||||
| Taxonomy Code | 122400000X |
| Grouping | Dental Providers |
| Classification | Denturist |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477910875 | George Barr | Denturist | 4408 Pacific Ave Se, Lacey, WA 98503-1119 | 2016-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427689421 | Tri-cities Denture Studio Pllc | Denturist | 3909 Creekside Loop Ste 110, Yakima, WA 98902-4880 | 2020-01-29 |
| 1447894811 | Michael Hu | Denturist | 430 N West Ave Ste 3, Arlington, WA 98223-1539 | 2019-10-29 |
| 1265999494 | Sagebrush Dental LLC | Denturist | 1114 N Mission St Ste C, Wenatchee, WA 98801-6711 | 2019-02-24 |
| 1295299113 | Stephanie Jean Hemenway | Denturist | 209 W Main Ave., Morton, WA 98356 | 2019-01-24 |
| 1538633664 | Trang Phung | Denturist | 1242 State Ave Ste G, Marysville, WA 98270-3672 | 2019-01-11 |
| 1053884338 | Juan Edward Berlanga | Denturist | 654 N Rochester St, Tacoma, WA 98406-1724 | 2019-01-09 |
| 1346713765 | Cody M Dunivin | Denturist | 129 Valley Meadows Dr, Chehalis, WA 98532-8652 | 2019-01-08 |
| 1841765682 | Andrew Payne | Denturist | 714 N Chelan Ave, Wenatchee, WA 98801-2069 | 2018-10-08 |
| 1154811982 | Jayson Allen Laney | Denturist | 4001 Colby Ave Ste 2, Everett, WA 98201-6208 | 2018-05-17 |
| 1932697117 | Jason Lee Alsbury | Denturist | 1715 W Kennewick Ave, Kennewick, WA 99336-3378 | 2018-04-24 |
| 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.