DR. THANE B ANDERSON D.D.S.
NPI 1104837921
Dentist - General Practice in Stoughton, WI

Active since August 10, 2006PECOS Enrolled
1520 VERNON ST, STOUGHTON, WI 53589(608) 873-3213(608) 873-7254 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Thane B Anderson D.d.s. NPPES

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

DR. THANE B ANDERSON D.D.S. (NPI 1104837921) is an individual general practice provider in Stoughton, Wisconsin, licensed in Wisconsin (4812W) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104837921
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. THANE B ANDERSONCredential: D.D.S.
Location Address1520 VERNON STStoughton, WI 53589-2260
Mailing Address1520 Vernon StStoughton, WI 53589-2260 · (608) 873-3213 · Fax (608) 873-7254
Fax(608) 873-7254
Sole ProprietorYes
Enumeration DateAugust 10, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1104837921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WI · 4812W
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.

1520 VERNON ST, Stoughton, WI 53589

Accepted 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. Thane B Anderson D.d.s. 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 53589 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 10

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

Dentist (General Practice)
1520 VERNON ST
STOUGHTON, WI 53589
Social Worker (Clinical)
1520 VERNON ST
STOUGHTON, WI 53589
Clinic/Center (Dental)
1520 VERNON ST
STOUGHTON, WI 53589
Social Worker (Clinical)
1520 VERNON ST
STOUGHTON, WI 53589
Social Worker (Clinical)
1520 VERNON ST
STOUGHTON, WI 53589
Dentist (General Practice)
1520 VERNON ST
STOUGHTON, WI 53589
Dentist (General Practice)
1520 VERNON ST
STOUGHTON, WI 53589
Social Worker (Clinical)
1520 VERNON ST
STOUGHTON, WI 53589

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 Thane Anderson's NPI number?

The NPI number for Thane Anderson is 1104837921. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Thane Anderson located?

Thane Anderson practices at 1520 Vernon St, Stoughton, WI 53589. The listed phone number is (608) 873-3213.

What is Thane Anderson's specialty?

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

Is Thane Anderson enrolled in Medicare?

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

What insurance does Thane Anderson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Wisconsin, Inc. and Florida Combined Life and 2 other insurers list Thane 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 Thane Anderson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.