DR. LARRY DOUGLAS ANDERSON (NPI# 1699825190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699825190 |
| Entity Type | Individual |
| Full Name | DR. LARRY DOUGLAS ANDERSON |
| Credential | DDS, ABGD |
| Practice Address |
11736 Impressive View Drive Deadwood SD 57732-0154 |
| Mailing Address |
Po Box 154 Deadwood SD 57732-0154 |
| Practice Telephone | 6055787519 |
| Practice Fax Number | 6055787519 |
| Mailing Telephone | 6055787519 |
| Mailing Fax Number | 6055787519 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
29012 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336436799 | Larry James Anderson | Internal Medicine | 2076 Continental Dr Ne, Atlanta, GA 30345-3400 | 2011-07-06 |
| 1891090643 | Larry Anderson | Counselor | 3455 W Craig Rd, Unit C, North Las Vegas, NV 89032-5118 | 2011-01-25 |
| 1104150879 | Larry L Anderson | Counselor | 1418 Shafter Ave, Odessa, TX 79761-3131 | 2009-09-28 |
| 1124156880 | Larry Gene Anderson | Chiropractor | 7 Melgrove Ln, Ste 101, Hannibal, MO 63401-2275 | 2007-03-02 |
| 1356485924 | Larry L Anderson | Psychologist | 2124 Dupont Ave S Ste 202, Minneapolis, MN 55405-2700 | 2007-02-16 |
| 1326156530 | Larry Anderson | Massage Therapist | 20015 Highway 99, Ste A, Lynnwood, WA 98036 | 2006-08-28 |
| 1144267766 | Larry D Anderson Jr. | Internal Medicine | 2201 Inwood Rd, Dallas, TX 75235 | 2006-06-01 |
| 1790737401 | Larry G Anderson | Orthopaedic Surgery | 503 E Parker Rd, Morganton, NC 28655-5104 | 2006-05-17 |
| 1184802092 | Larry Anderson | Technician, Other | 500 Highway 51 S, Ripley, TN 38063-4583 | 2008-02-01 |
| 1841477122 | Larry Anderson | Physical Therapist | 4211 Joe Ramsey Blvd E, Ste 100, Greenville, TX 75401-7852 | 2008-01-29 |
| Street Address |
11736 IMPRESSIVE VIEW DRIVE |
| City | DEADWOOD |
| State | SD |
| Zip Code | 57732-0154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699297408 | Megan Quinn | Physical Therapist | 61 Charles Street, Regional Health Lead-deadwood Hospital, Deadwood, SD 57732 | 2017-07-13 |
| 1093718769 | Elizabeth J Sayler | Internal Medicine | 71 Charles St, Deadwood, SD 57732 | 2005-05-24 |
| 1124563655 | Regional Health Network Inc. | Dietitian, Registered | 71 Charles St, Deadwood, SD 57732 | 2016-12-19 |
| 1144506593 | Ashley Johnson | Pharmacist | 71 Charles Street, Deadwood, SD 57732 | 2011-10-31 |
| 1154471282 | Peggy L Hubbard | Physician Assistant | 71 Charles St, Deadwood, SD 57732 | 2007-01-11 |
| 1376611012 | Joe Ping Chang | Internal Medicine | 71 Charles St, Deadwood, SD 57732 | 2006-12-01 |
| 1346243813 | James T Holloway | Internal Medicine | 71 Charles St, Deadwood, SD 57732 | 2005-05-27 |
| 1942203419 | Thomas J Groeger | Family Medicine | 71 Charles St, Deadwood, SD 57732 | 2005-05-27 |
| 1598768251 | Karen S Tjaden | Family Medicine | 71 Charles St, Deadwood, SD 57732 | 2005-05-24 |
| 1740326214 | Black Hills Special Services | Case Management | 870 Main St, Deadwood, SD 57732-1004 | 2007-01-30 |
| Find all providers in zip 57732 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679755474 | Lennard Hopper, D.d.s., P.C. | Dentist | 88 Charles St, Deadwood, SD 57732-1303 | 2007-12-04 |
| 1659577757 | Dennis Mills, Dds, PC | Dentist | 88 Charles St, Deadwood, SD 57732-1303 | 2007-06-25 |
| 1871693028 | Dennis M. Mills | Dentist | 88 Charles St, Deadwood, SD 57732-1303 | 2006-09-25 |
| 1063512226 | Lennard Hopper | Dentist | 88 Charles St, Deadwood, SD 57732-1303 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727969 | Shaun Lemmon | Dentist | 333 West Blvd # 300a, Rapid City, SD 57701-2670 | 2020-10-14 |
| 1366049660 | Byrne Dental, Professional LLC | Dentist | 3825 Canyon Lake Dr, Rapid City, SD 57702 | 2020-10-08 |
| 1427661594 | Xandria Khrystynne Perman | Dentist | 611 2nd Ave East, Mclaughlin, SD 57642 | 2020-08-28 |
| 1558972745 | Harrisburg Family Dental LLC | Dentist | 225 N. Cliff Ave, Suite 2, Harrisburg, SD 57032 | 2020-08-12 |
| 1316565047 | Geoffrey Whitney | Dentist | 409 Summit St Ste 3400409, Yankton, SD 57078-3734 | 2020-07-09 |
| 1801414958 | Elizabeth Holloway | Dentist | 107 W 3rd St # 1324, Miller, SD 57362-1324 | 2020-07-06 |
| 1497371660 | Ashton Anne Parmley | Dentist | 605 E Brian St, Tea, SD 57064-2264 | 2020-06-23 |
| 1376169797 | Adam Fjeldheim | Dentist | 605 E. Brian St., Tea, SD 57064 | 2020-06-22 |
| 1710501085 | Holly Joy Heien | Dentist | 720 N Euclid Ave, Pierre, SD 57501-1717 | 2020-06-02 |
| 1962041749 | Drake Family Dentistry of Sioux Falls PC | Dentist | 2701 S Minnesota Ave Ste 3, Sioux Falls, SD 57105-4746 | 2019-12-27 |
| 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.