1. Home
  2. Directory
  3. Tennessee
  4. Mountain City
  5. Dentist
  6. NPI Profile

BRAD ANDERSEN D.M.D.
NPI 1053761189
Dentist - General Practice in Mountain City, TN

Active since June 20, 2016
144 CALVARY LN, MOUNTAIN CITY, TN 37683(423) 727-0655 Get Directions Write a Review

NPPES record last updated: July 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 5, 2022, Jun 20, 2016 (2 updates tracked since 2016).

About Brad Andersen D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRAD ANDERSEN D.M.D. (NPI 1053761189) is an individual general practice provider in Mountain City, Tennessee, licensed in Oregon (D01443) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1053761189
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameBRAD ANDERSENCredential: D.M.D.
Location Address144 CALVARY LNMountain City, TN 37683-4306
Mailing Address144 Calvary LnMountain City, TN 37683-4306 · (423) 727-0655
Phone(423) 727-0655
Sole ProprietorYes
Enumeration DateJune 20, 2016
Last NPPES UpdateJuly 5, 20222 updates tracked since enumeration
NPPES CertifiedJuly 5, 2022
✔ NPI 1053761189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D01443
Definition
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.
144 CALVARY LN, Mountain City, TN 37683
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HANNAH PHILLIPS HOSIER OTR/L
Occupational Therapist (Pediatrics)
144 CALVARY LN
MOUNTAIN CITY, TN 37683
Johnson County (423) 218-9729
CROWN HAUS, PLLC
Dentist (General Practice)
144 CALVARY LN
MOUNTAIN CITY, TN 37683
Johnson County (423) 727-0655

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brad Andersen's NPI number?

The NPI number for Brad Andersen is 1053761189. It was assigned to this individual provider in the NPPES registry on June 20, 2016.

Where is Brad Andersen located?

Brad Andersen practices at 144 Calvary Ln, Mountain City, TN 37683. The listed phone number is (423) 727-0655.

What is Brad Andersen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Brad Andersen accept?

Health plans from Humana list Brad Andersen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brad Andersen was last updated on July 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.