DR. BENJAMIN JAMES ANDERSON D.D.S., M.D.
NPI 1073775839
Dentist - Oral and Maxillofacial Surgery in Omaha, NE

Active since July 01, 2008Opted out of Medicare · through Nov 1, 2026
14625 CALIFORNIA ST, OMAHA, NE 68154(402) 397-7777 Get Directions Write a Review

NPPES record last updated: November 30, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Benjamin James Anderson D.d.s., M.d. NPPES

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

DR. BENJAMIN JAMES ANDERSON D.D.S., M.D. (NPI 1073775839) is an individual oral and maxillofacial surgery provider in Omaha, Nebraska, licensed in Nebraska (6780) and active in the NPI registry since July 2008. He has opted out of Medicare through November 1, 2026.

NPPES Registry Identity

NPI1073775839
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. BENJAMIN JAMES ANDERSONCredential: D.D.S., M.D.
Location Address14625 CALIFORNIA STOmaha, NE 68154-1950
Mailing Address2309 N 179th StOmaha, NE 68116-2261 · (417) 987-0106
Sole ProprietorNo
Enumeration DateJuly 1, 2008
Last NPPES UpdateNovember 30, 2016
NPI 1073775839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses Licensed in NE · 6780 Licensed in MS · PRV-TP-111-09
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedDentistTaxonomy 122300000X · License 6780 (NE)
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License T-2530 (MS)
14625 CALIFORNIA ST, Omaha, NE 68154

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Benjamin James Anderson D.d.s., M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 1, 2016 through November 1, 2026.

Opt-Out Effective DateNovember 1, 2016
Opt-Out In Effect ThroughNovember 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

Dentist (Oral and Maxillofacial Surgery)
14625 CALIFORNIA ST
OMAHA, NE 68154
Dentist (Oral and Maxillofacial Surgery)
14625 CALIFORNIA ST
OMAHA, NE 68154
Dentist (Oral and Maxillofacial Surgery)
14625 CALIFORNIA ST
OMAHA, NE 68154
Dentist (Oral and Maxillofacial Surgery)
14625 CALIFORNIA ST
OMAHA, NE 68154

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 Benjamin Anderson's NPI number?

The NPI number for Benjamin Anderson is 1073775839. It was assigned to this individual provider in the NPPES registry on July 1, 2008.

Where is Benjamin Anderson located?

Benjamin Anderson practices at 14625 California St, Omaha, NE 68154. The listed phone number is (402) 397-7777.

What is Benjamin Anderson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Benjamin Anderson enrolled in Medicare?

No. Benjamin Anderson has opted out of Medicare through November 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Benjamin Anderson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Nebraska and 10 other insurers list Benjamin 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 Benjamin Anderson was last updated on November 30, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.