JOHN D ANDERSEN DDS
NPI 1306940770
Dentist - Oral and Maxillofacial Surgery in Omaha, NE

Q: What is John Andersen's NPI number?

The NPI number for John Andersen is 1306940770. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Q: What is John Andersen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is John Andersen enrolled in Medicare?

No. John Andersen has opted out of Medicare through April 1, 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 John Andersen was last updated on December 22, 2007. 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 September 07, 2006Opted out of Medicare · through Apr 1, 2027

13215 BIRCH ST, SUITE 100, OMAHA, NE 68164(402) 390-0770 Get Directions Write a Review

NPPES record last updated: December 22, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About John D Andersen Dds NPPES

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

JOHN D ANDERSEN DDS (NPI 1306940770) is an individual oral and maxillofacial surgery provider in Omaha, Nebraska, licensed in Iowa (7220) and active in the NPI registry since September 2006. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1306940770

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameJOHN D ANDERSENCredential: DDS

Location Address13215 BIRCH ST, SUITE 100Omaha, NE 68164-5431

Mailing Address201 Ridge St, Suite 308Council Bluffs, IA 51503-4643 · (712) 328-8892 · Fax (712) 328-8845

Phone(402) 390-0770

Sole ProprietorNo

Enumeration DateSeptember 7, 2006

Last NPPES UpdateDecember 22, 2007

✔ NPI 1306940770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in IA · 7220

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

13215 BIRCH ST, Omaha, NE 68164

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Other Identifiers 3

Medicare ID-Type Unspecified53949IA

Medicare UPINT00586

Medicaid0249052IA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

John D Andersen 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 April 1, 2013 through April 1, 2027.

Opt-Out Effective DateApril 1, 2013

Opt-Out In Effect ThroughApril 1, 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68164 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

$81.20 typical visit price

range $52.69 – $160.21

Typical copayment $20.30 (range $13.17 – $40.05)

Most-billed visit code 99203

Established Patient

$66.00 typical visit price

range $16.90 – $131.25

Typical copayment $16.50 (range $4.22 – $32.81)

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.

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 Andersen's NPI number?

The NPI number for John Andersen is 1306940770. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is John Andersen located?

John Andersen practices at 13215 Birch St Suite 100, Omaha, NE 68164. The listed phone number is (402) 390-0770.

What is John Andersen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is John Andersen enrolled in Medicare?

No. John Andersen has opted out of Medicare through April 1, 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.

When was this NPI record last updated?

The NPPES record for John Andersen was last updated on December 22, 2007. 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.