DR. DAVID ANDERSON DDS
NPI 1457806069
Dentist - General Practice in Green Bay, WI

Q: What is David Anderson's NPI number?

The NPI number for David Anderson is 1457806069. It was assigned to this individual provider in the NPPES registry on August 24, 2016.

Q: What is David Anderson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for David Anderson was last updated on April 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 24, 2016PECOS Enrolled

2851 UNIVERSITY AVE, GREEN BAY, WI 54311(920) 431-2500 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 3, 2025, Jun 8, 2017, Aug 24, 2016 (3 updates tracked since 2016).

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About Dr. David Anderson Dds NPPES

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

DR. DAVID ANDERSON DDS (NPI 1457806069) is an individual general practice provider in Green Bay, Wisconsin, licensed in Wisconsin (1001585-15) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457806069

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. DAVID ANDERSONCredential: DDS

Location Address2851 UNIVERSITY AVEGreen Bay, WI 54311-5855

Mailing Address4090 Monroe RdDe Pere, WI 54115-9205

Phone(920) 431-2500

Sole ProprietorNo

Enumeration DateAugust 24, 2016

Last NPPES UpdateApril 3, 20253 updates tracked since enumeration

NPPES CertifiedApril 3, 2025

✔ NPI 1457806069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WI · 1001585-15

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.

Also ListedDentistTaxonomy 122300000X · License 1001585-15 (WI)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2851 UNIVERSITY AVE, Green Bay, WI 54311

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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. David 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54311 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.

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