ANDERSON DENTAL
NPI 1679352009
Dentist - Oral and Maxillofacial Surgery in Phoenix, AZ
About Anderson Dental NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDERSON DENTAL (NPI 1679352009) is a healthcare organization registered as an oral and maxillofacial surgery in Phoenix, Arizona and active in the NPI registry since September 2023. The organization lists Lori K Anderson, Doctor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Anderson Dental is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Anderson Dental, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Lori K Anderson Dds PLLC's NPI number?
The NPI number for Lori K Anderson Dds PLLC is 1679352009. It was assigned to this organization in the NPPES registry on September 25, 2023. The provider is doing business as Anderson Dental.
Where is Lori K Anderson Dds PLLC located?
Lori K Anderson Dds PLLC is located at 2525 W Carefree Hwy Ste 108, Phoenix, AZ 85085. The listed phone number is (623) 455-9179.
What is Lori K Anderson Dds PLLC's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Lori K Anderson Dds PLLC enrolled in Medicare?
Yes. Lori K Anderson Dds PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lori K Anderson Dds PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Lori K Anderson Dds PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Lori K Anderson Dds PLLC was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Anderson Dental · NPI 1679352009
Oral and Maxillofacial Surgery organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since September 25, 2023.
## Identity
- **NPI:** 1679352009 (Entity type: Organization)
- **Enumerated:** September 25, 2023
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **Legal business name:** Lori K Anderson Dds Pllc
- **Organization subpart:** No
- **Authorized official:** Lori Anderson, DOCTOR
## Practice location
- **Address:** 2525 W CAREFREE HWY STE 108, Phoenix, AZ 85085-6095
- **Phone:** (623) 455-9179
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Oral Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 25, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1679352009) · Data from the CMS NPPES public registry.