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DR. JACOB MATTHEW ANDERSON D.D.S.
NPI 1487063152
Dentist in Lees Summit, MO

Active since August 07, 2014
300 SE 2ND ST STE 200, LEES SUMMIT, MO 64063(816) 524-6300 Get Directions Write a Review

NPPES record last updated: January 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jacob Matthew Anderson D.d.s. NPPES

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

DR. JACOB MATTHEW ANDERSON D.D.S. (NPI 1487063152) is an individual dentist in Lees Summit, Missouri, licensed in Missouri (2014016763) and active in the NPI registry since August 2014. He maintains a secondary practice location in Ft. Sill.

NPPES Registry Identity

NPI1487063152
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JACOB MATTHEW ANDERSONCredential: D.D.S.
Location Address300 SE 2ND ST STE 200Lees Summit, MO 64063-2759
Mailing Address300 Se 2nd St Ste 200Lees Summit, MO 64063-2759 · (816) 524-6300
Phone(816) 524-6300
Sole ProprietorYes
Enumeration DateAugust 7, 2014
Last NPPES UpdateJanuary 2, 2021
NPPES CertifiedJanuary 2, 2021
✔ NPI 1487063152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MO · 2014016763
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.
300 SE 2ND ST STE 200, Lees Summit, MO 64063
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Secondary Practice Location 1

Location 1652 Hamilton Rd, USA Dental ActivityFt. Sill, OK 73503 · Phone (580) 442-3905

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Guardian, Humana, Renaissance Dental.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KALLSNICK & CARESWELL
Dentist (General Practice)
300 SE 2ND ST STE 200
LEES SUMMIT, MO 64063
Jackson County (816) 524-6300
MR. SAM K KALLSNICK DDS,PC
Dentist (General Practice)
300 SE 2ND ST STE 200
LEES SUMMIT, MO 64063
Jackson County (816) 524-6300
CARESWELL & ANDERSON DENTAL LLC
Clinic/Center (Dental)
300 SE 2ND ST STE 200
LEES SUMMIT, MO 64063
Jackson County (816) 524-6300
MRS. HOLLI WEAVER CARESWELL DDS,PC
Dentist (General Practice)
300 SE 2ND ST STE 200
LEES SUMMIT, MO 64063
Jackson County (816) 524-6300

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 Jacob Anderson's NPI number?

The NPI number for Jacob Anderson is 1487063152. It was assigned to this individual provider in the NPPES registry on August 7, 2014.

Where is Jacob Anderson located?

Jacob Anderson practices at 300 SE 2nd St Ste 200, Lees Summit, MO 64063. The listed phone number is (816) 524-6300.

What is Jacob Anderson's specialty?

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

What insurance does Jacob Anderson accept?

Health plans from Guardian, Humana and Renaissance Dental list Jacob 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 Jacob Anderson was last updated on January 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.