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DR. JOHN ALAN ANDERSON DDS
NPI 1326231267
Dentist in Louisville, KY

Active since August 23, 2007PECOS Enrolled
4122 SHELBYVILLE ROAD, SUITE 103, LOUISVILLE, KY 40207(502) 895-6930(502) 894-9044 Get Directions Write a Review

NPPES record last updated: August 25, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. John Alan Anderson Dds NPPES

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

DR. JOHN ALAN ANDERSON DDS (NPI 1326231267) is an individual dentist in Louisville, Kentucky, licensed in Kentucky (7547) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326231267
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JOHN ALAN ANDERSONCredential: DDS
Location Address4122 SHELBYVILLE ROAD, SUITE 103Louisville, KY 40207
Mailing Address4122 Shelbyville Road, Suite 103Louisville, KY 40207 · (502) 895-6930 · Fax (502) 894-9044
Phone(502) 895-6930
Fax(502) 894-9044
Sole ProprietorYes
Enumeration DateAugust 23, 2007
Last NPPES UpdateAugust 25, 2016
✔ NPI 1326231267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in KY · 7547
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4122 SHELBYVILLE ROAD, Louisville, KY 40207
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Other Identifiers 2

Medicaid201369460IN
Medicaid60001757KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HRI Dental & Vision, Paramount.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Alan Anderson Dds 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.

Medicare Billing Reassignment

Medicare enrollment records show John Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Special Care Dental Of Kentucky PLLC
1.3 mi
General Practice
4350 BROWNSBORO RD STE 210
Louisville, KY 40207
  • Reassigned Medicare billing, Kentucky enrollment
  • 6 clinicians in this Medicare group
NPI 1295007383 (248) 528-2116

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 Anderson's NPI number?

The NPI number for John Anderson is 1326231267. It was assigned to this individual provider in the NPPES registry on August 23, 2007.

Where is John Anderson located?

John Anderson practices at 4122 Shelbyville Road Suite 103, Louisville, KY 40207. The listed phone number is (502) 895-6930.

What is John Anderson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is John Anderson enrolled in Medicare?

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

Which organization bills Medicare for John Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Anderson reassigns Medicare benefits to Special Care Dental Of Kentucky PLLC (Louisville, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Anderson accept?

Health plans from HRI Dental & Vision and Paramount list John 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 John Anderson was last updated on August 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.