Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DAVID CHARLES ANDERSON DDS
NPI 1083624621
Dentist - Prosthodontics in Green Bay, WI

Q: What is David Anderson's NPI number?

The NPI number for David Anderson is 1083624621. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Q: What is David Anderson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Q: When was this NPI record last updated?

The NPPES record for David Anderson was last updated on July 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.

Active since August 08, 2006PECOS Enrolled

430 MAIN ST, GREEN BAY, WI 54301(920) 431-0345 Get Directions Write a Review

NPPES record last updated: July 19, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. David Charles Anderson Dds NPPES

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

DR. DAVID CHARLES ANDERSON DDS (NPI 1083624621) is an individual prosthodontics provider in Green Bay, Wisconsin, licensed in Wisconsin (5956) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083624621

Entity TypeIndividualMale

Primary Taxonomy1223P0700X

Provider Legal NameDR. DAVID CHARLES ANDERSONCredential: DDS

Location Address430 MAIN STGreen Bay, WI 54301-5115

Mailing Address5318 North Rosemary LaneAppleton, WI 54913 · (920) 730-9027

Phone(920) 431-0345

Sole ProprietorNo

Enumeration DateAugust 8, 2006

Last NPPES UpdateJuly 19, 2026

✔ NPI 1083624621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers

Taxonomy Code1223P0700X

License✔ Licensed in WI · 5956

Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

430 MAIN ST, Green Bay, WI 54301

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Other Identifiers 1

Medicaid33798200WI

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. David Charles 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 54301 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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 20

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

DR. WILLIAM ARTHUR BRENNAN D.D.S.

Dentist (Periodontics)