TAITE ANDERSON DDS
NPI 1083877146
Student in an Organized Health Care Education/Training Program in La Crosse, WI

Q: What is Taite Anderson's NPI number?

The NPI number for Taite Anderson is 1083877146. It was assigned to this individual provider in the NPPES registry on July 8, 2008.

Q: What is Taite Anderson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: Is Taite Anderson enrolled in Medicare?

No. Taite Anderson has opted out of Medicare through March 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Taite Anderson was last updated on July 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since July 08, 2008Opted out of Medicare · through Mar 29, 2027

1836 SOUTH AVE, LA CROSSE, WI 54601(608) 782-7300 Get Directions Write a Review

NPPES record last updated: July 8, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Taite Anderson Dds NPPES

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

TAITE ANDERSON DDS (NPI 1083877146) is an individual student in an organized health care education/training program in La Crosse, Wisconsin and active in the NPI registry since July 2008. He has opted out of Medicare through March 29, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1083877146

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameTAITE ANDERSONCredential: DDS

Location Address1836 SOUTH AVELa Crosse, WI 54601-5429

Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300

Phone(608) 782-7300

Sole ProprietorNo

Enumeration DateJuly 8, 2008

✔ NPI 1083877146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1836 SOUTH AVE, La Crosse, WI 54601

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Taite Anderson Dds 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 March 29, 2019 through March 29, 2027.

Opt-Out Effective DateMarch 29, 2019

Opt-Out In Effect ThroughMarch 29, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

JEFFREY BRIAN TROHKIMOINEN M.D.

Anesthesiology

1836 SOUTH AVE, GUNDERSEN CLINIC, LTD.
LA CROSSE, WI 54601

La Crosse County (608) 775-2031

JESSICA E THESING CRNA

Nurse Anesthetist, Certified Registered