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DR. KENNETH MARK ANDERSON DDS,MS
NPI 1245316017
Dentist - Oral and Maxillofacial Pathology in Memphis, TN

Active since October 27, 2006PECOS Enrolled
875 UNION AVE, ROOM C309, MEMPHIS, TN 38163(901) 448-5876(901) 448-6835 Get Directions Write a Review

NPPES record last updated: September 5, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kenneth Mark Anderson Dds,ms NPPES

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

DR. KENNETH MARK ANDERSON DDS,MS (NPI 1245316017) is an individual oral and maxillofacial pathology provider in Memphis, Tennessee, licensed in Tennessee (DDS8053) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245316017
Entity TypeIndividualMale
Primary Taxonomy1223P0106X
Provider Legal NameDR. KENNETH MARK ANDERSONCredential: DDS,MS
Location Address875 UNION AVE, ROOM C309Memphis, TN 38163-0001
Mailing Address875 Union Ave Rm C309Memphis, TN 38163-2110 · (901) 448-2569 · Fax (901) 448-6835
Phone(901) 448-5876
Fax(901) 448-6835
Sole ProprietorNo
Enumeration DateOctober 27, 2006
Last NPPES UpdateSeptember 5, 2019
✔ NPI 1245316017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License✔ Licensed in TN · DDS8053
Definition

The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.

875 UNION AVE, Memphis, TN 38163
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Other Identifiers 1

Other4075323TN · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Humana.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. Kenneth Mark Anderson Dds,ms 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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
364 services304 patients
Antibody evaluation, each additional single antibody stain procedure 88350
An antibody evaluation involves testing a sample of your body fluid (like blood) to identify specific antibodies. Each additional single antibody stain procedure is a separate test for another specific antibody. This helps in diagnosing various health conditions by understanding your body's immune response.
153 services36 patients
Antibody evaluation, initial single antibody stain procedure 88346
An antibody evaluation, initial single antibody stain procedure is a laboratory test. It's designed to identify specific proteins, or antibodies, in your body. This can help diagnose certain conditions or monitor your immune system's response to treatments. The procedure involves staining a single type of antibody for detection.
39 services36 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
26 services21 patients
Preparation of tissue for examination by removing any calcium present 88311
This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
25 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38163 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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. LAWRENCE W WEEDA JR. DDS
Dentist (Oral and Maxillofacial Surgery)
875 UNION AVE, ROOM N-328
MEMPHIS, TN 38163
Shelby County (901) 448-6236
DR. MARJORIE A. WOODS D.D.S.
Dentist (General Practice)
875 UNION AVE
MEMPHIS, TN 38163
Shelby County (901) 448-6227
TAYLOR P MCGUIRE D.D.S.
Dentist (Oral and Maxillofacial Surgery)
875 UNION AVE
MEMPHIS, TN 38163
Shelby County (901) 448-6233
DR. SANFORD JAY FENTON D.D.S.
Dentist (Pediatric Dentistry)
875 UNION AVE, S 217 B
MEMPHIS, TN 38163
Shelby County (901) 448-6206
DR. RUSSELL O GILPATRICK DDS
Dentist (General Practice)
875 UNION AVE
MEMPHIS, TN 38163
Shelby County (901) 448-6202
DR. MARK RANDALL PATTERS DDS
Dentist (Periodontics)
875 UNION AVE, UNIV. OF TENNESSEE, COLLEGE OF DENTISTRY
MEMPHIS, TN 38163
Shelby County (901) 448-7686
DR. EDDIE L BURTON D.D.S.
Dentist (General Practice)
875 UNION AVE, SUITE N228
MEMPHIS, TN 38163
Shelby County (901) 448-6611
CONSTANCE WEST DDS
Dentist
875 UNION AVE
MEMPHIS, TN 38163
Shelby County (901) 448-6476

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 Kenneth Anderson's NPI number?

The NPI number for Kenneth Anderson is 1245316017. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Kenneth Anderson located?

Kenneth Anderson practices at 875 Union Ave Room C309, Memphis, TN 38163. The listed phone number is (901) 448-5876.

What is Kenneth Anderson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Is Kenneth Anderson enrolled in Medicare?

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

What insurance does Kenneth Anderson accept?

Health plans from BlueCross BlueShield of Tennessee and Humana list Kenneth 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 Kenneth Anderson was last updated on September 5, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.