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DR. DEVREN CLAY ANDERSON DDS
NPI 1063575629
Dentist - General Practice in Sioux Falls, SD

Active since December 18, 2006PECOS Enrolled
6104 S LYNCREST AVE, SIOUX FALLS, SD 57108(605) 274-6191(605) 274-6192 Get Directions Write a Review

NPPES record last updated: August 30, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Devren Clay Anderson Dds NPPES

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

DR. DEVREN CLAY ANDERSON DDS (NPI 1063575629) is an individual general practice provider in Sioux Falls, South Dakota, licensed in South Dakota (D0918) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063575629
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DEVREN CLAY ANDERSONCredential: DDS
Location Address6104 S LYNCREST AVESioux Falls, SD 57108-2560
Mailing Address6104 S Lyncrest AveSioux Falls, SD 57108-2560 · (605) 274-6191 · Fax (605) 274-6192
Phone(605) 274-6191
Fax(605) 274-6192
Sole ProprietorNo
Enumeration DateDecember 18, 2006
Last NPPES UpdateAugust 30, 2010
✔ NPI 1063575629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in SD · D0918
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.
6104 S LYNCREST AVE, Sioux Falls, SD 57108
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Other Identifiers 3

Medicare UPINP00086
Medicare ID-Type Unspecified970000669MN
Medicaid490632200MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Devren Clay Anderson Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DR. MARK THOMAS LAVIN D.D.S.
Dentist (Periodontics)
6104 S LYNCREST AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 332-6300
JASON BEREDED
Dentist (General Practice)
6104 S LYNCREST AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 274-6191
DENTAL WELLNESS, DEVREN ANDERSON, DDS, PC
Dentist (General Practice)
6104 S LYNCREST AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 274-6191

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 Devren Anderson's NPI number?

The NPI number for Devren Anderson is 1063575629. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Devren Anderson located?

Devren Anderson practices at 6104 S Lyncrest Ave, Sioux Falls, SD 57108. The listed phone number is (605) 274-6191.

What is Devren Anderson's specialty?

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

Is Devren Anderson enrolled in Medicare?

Yes. Devren Anderson is registered in the Medicare PECOS enrollment system.

What insurance does Devren Anderson accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Devren Anderson 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 Devren Anderson was last updated on August 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.