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JOHN S ANDERSON
NPI 1215387501
Dentist - General Practice in Champaign, IL

Active since June 16, 2016
819 BLOOMINGTON RD, CHAMPAIGN, IL 61820(217) 403-5477(217) 403-5476 Get Directions Write a Review

NPPES record last updated: June 16, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About John S Anderson NPPES

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

JOHN S ANDERSON (NPI 1215387501) is an individual general practice provider in Champaign, Illinois, licensed in Illinois (019.030678) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1215387501
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJOHN S ANDERSON
Location Address819 BLOOMINGTON RDChampaign, IL 61820-2101
Mailing Address819 Bloomington RdChampaign, IL 61820-2101 · (217) 403-5477 · Fax (217) 403-5476
Phone(217) 403-5477
Fax(217) 403-5476
Sole ProprietorNo
Enumeration DateJune 16, 2016
✔ NPI 1215387501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019.030678
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.

819 BLOOMINGTON RD, Champaign, IL 61820
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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. CORINNE E KOHLER MD
Family Medicine
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820
Champaign County (217) 356-1558
MS. ANN CAROL RUSSELL LCSW
Social Worker
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820
Champaign County (217) 356-1558
ROGER EWALD M.D.
Ophthalmology
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820
Champaign County (217) 403-5401
CESAR RAUL ALBUREZ-SOSA DDS
Dentist (General Practice)
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820
Champaign County (860) 538-4064
VALERIE CINTRON
Social Worker (Clinical)
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820
Champaign County (217) 356-1558
MRS. SHELLANE MARIE TANGEN BSN, MSN, FNP-BC
Nurse Practitioner
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820
Champaign County (217) 356-1558
KAITLYN CORNELL LCSW
Social Worker (Clinical)
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820
Champaign County (217) 356-1558
RIVER ANDRES PA
Physician Assistant
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820
Champaign County (217) 356-1558

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 John Anderson's NPI number?

The NPI number for John Anderson is 1215387501. It was assigned to this individual provider in the NPPES registry on June 16, 2016.

Where is John Anderson located?

John Anderson practices at 819 Bloomington Rd, Champaign, IL 61820. The listed phone number is (217) 403-5477.

What is John Anderson's specialty?

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

When was this NPI record last updated?

The NPPES record for John Anderson was last updated on June 16, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.