DR. DOUGLAS W ANDERSON (NPI# 1972718310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972718310 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS W ANDERSON |
| Credential | DMD |
| Practice Address |
18160 Cottonwood Rd Pmb 258 Sunriver OR 97707 |
| Practice Telephone | 5037819657 |
| Mailing Telephone | 5037819657 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2013-01-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
D5145 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497183396 | Douglas Anderson | Occupational Therapy Assistant | 234 Carney St, Twin Falls, ID 83301-5010 | 2013-10-31 |
| 1639417983 | Douglas Alan Anderson | Internal Medicine | 11942 N 95th St, Scottsdale, AZ 85260-7133 | 2013-01-22 |
| 1184900292 | Douglas M Anderson | Pharmacist | 13 Lafayette St, Saco, ME 04072-2022 | 2011-11-02 |
| 1467667741 | Douglas M Anderson | Pharmacist | 4510 Jubilee Ct, Powder Springs, GA 30127-4946 | 2007-05-11 |
| 1821157918 | Douglas M Anderson | Dentist | 2651 W South Jordan Pkwy Ste 201, South Jordan, UT 84095-8966 | 2006-12-06 |
| 1568565109 | Douglas M Anderson | Social Worker | 701 Richmond Ave, Houston, TX 77006-5511 | 2006-09-07 |
| 1699788307 | Douglas A Anderson | Chiropractor | 12510 W 62nd Terrace, Ste #101, Shawnee, KS 66216 | 2006-08-14 |
| 1477554095 | Douglas Calvin Anderson Jr. | Pharmacist | 1712a E Broad Ave, East Albany Medical Center, Albany, GA 31705-2611 | 2005-08-04 |
| 1750381851 | Douglas L Anderson | Psychologist | 2109 S Norton Ave, Sioux Falls, SD 57105-3730 | 2005-07-29 |
| 1841294774 | Douglas Edward Anderson | Internal Medicine | 2801 Nw Mercy Dr Ste 300, Roseburg, OR 97471-2348 | 2005-06-09 |
| Street Address |
18160 COTTONWOOD RD PMB 258 |
| City | SUNRIVER |
| State | OR |
| Zip Code | 97707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679845655 | Thomas Timmons Mcgranahan Sr. | Anesthesiology | 18160 Cottonwood Rd, # 793, Sunriver, OR 97707-9317 | 2012-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196586 | Sacha Ariana Lodge | Dental Hygienist | 17065 Shawnee Circle, Bend, OR 97707 | 2020-08-31 |
| 1437527504 | Rebecca Rachel Freidman | Speech-Language Pathologist | 102 Sanhedria Murchevet, Apartment 16b, Jerusalem, JERUSALEM 97707 | 2015-09-08 |
| 1023438439 | Sunriver Pharmacy | Pharmacy | 56890 Venture Lane, Sunriver, OR 97707 | 2014-04-24 |
| 1033431382 | Tamara Lee Goen | Massage Therapist | 57195 Beaver Dr, Sunriver, OR 97707 | 2010-02-26 |
| 1760716393 | Victor Bonchek | Psychologist | Sanhedria Murchevet 127/4, Jerusalem, ISRAEL 97707 | 2009-09-30 |
| 1427282938 | Julie Thibodeaux Radloff | Family Medicine | 7 Lassen Lane, Sunriver, OR 97707 | 2009-05-12 |
| 1093935322 | James Philip Smith | Counselor | 56881 Enterprise Dr., Sunriver, OR 97707 | 2007-04-27 |
| 1013133495 | Harvey A Abrams | Anesthesiology | 57655 Tan Oak Lane, Sunriver, OR 97707 | 2007-04-17 |
| 1801966031 | Active Care Physical Therapy Inc | Physical Therapist | 18135 Cottonwood Rd, Sunriver, OR 97707 | 2006-11-08 |
| 1508882515 | Livia M Vanloo | Physical Therapist | 56881 Enterprise Drive, Sunriver, OR 97707 | 2006-07-14 |
| Find all providers in zip 97707 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760997803 | Valley Endodontics | Dentist | 2350 Nw Century Dr Ste 200, Corvallis, OR 97330-3495 | 2017-12-12 |
| 1396259040 | Scott L. Barry, Dmd, PC | Dentist | 9020 Sw Washington Square Rd Ste 570, Portland, OR 97223-4477 | 2017-11-16 |
| 1851764138 | Oregon Endodontics LLC | Dentist | 196 Catron St N, Monmouth, OR 97361-2303 | 2015-11-09 |
| 1386069151 | Tcd Endodontics | Dentist | 620 12th St. Se, Salem, OR 97301 | 2014-03-03 |
| 1114348612 | Xia LLC | Dentist | 85 Centennial Loop, Eugene, OR 97401-7907 | 2013-12-30 |
| 1568711257 | Alan Liesinger Dmd PC | Dentist | 375 Park Ave., Suite 7, Coos Bay, OR 97420-2242 | 2012-09-10 |
| 1548516958 | Ryan L Reese | Dentist | 8309 Sw Main St, Suite 100, Wilsonville, OR 97070-5550 | 2012-08-03 |
| 1609121599 | Marc A Rasmussen | Dentist | 2924 Siskiyou Blvd Ste 204, Medford, OR 97504-8197 | 2012-07-17 |
| 1770849838 | West Coast Endodontics, PC | Dentist | 9907 Se Division Street, Ste A, Portland, OR 87266 | 2012-04-03 |
| 1881915858 | Holly Hyunjung Park-nah | Dentist | 3835 Spring Blvd, Eugene, OR 97405-5806 | 2010-06-14 |
| 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.