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DR. THOR JASON ANDERSON DDS
NPI 1790877629
Dentist - General Practice in Stoughton, WI

Active since September 28, 2006PECOS Enrolled
1520 VERNON ST, STOUGHTON, WI 53589(608) 873-7277 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thor Jason Anderson Dds NPPES

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

DR. THOR JASON ANDERSON DDS (NPI 1790877629) is an individual general practice provider in Stoughton, Wisconsin, licensed in Wisconsin (4619-015) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790877629
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. THOR JASON ANDERSONCredential: DDS
Location Address1520 VERNON STStoughton, WI 53589-2260
Mailing Address1520 Vernon StStoughton, WI 53589-2260
Phone(608) 873-7277
Sole ProprietorNo
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1790877629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 4619-015
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.
1520 VERNON ST, Stoughton, WI 53589
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Wisconsin, Inc..Insurance ›

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. Thor Jason 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 53589 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.

Other Providers at the Same Location NPPES 10

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

RICHARD A ALBRIGHT D.D.S.
Dentist (General Practice)
1520 VERNON ST
STOUGHTON, WI 53589
Dane County (608) 873-3213
DR. THANE B ANDERSON D.D.S.
Dentist (General Practice)
1520 VERNON ST
STOUGHTON, WI 53589
Dane County (608) 873-3213
MR. DAVID W DRUCKENBROD LCSW
Social Worker (Clinical)
1520 VERNON ST
STOUGHTON, WI 53589
Dane County (608) 873-6422
DR. THANE B. ANDERSON, DDS, LLC
Clinic/Center (Dental)
1520 VERNON ST
STOUGHTON, WI 53589
Dane County (608) 873-3213
JEFFREY L BROWN LCSW
Social Worker (Clinical)
1520 VERNON ST
STOUGHTON, WI 53589
Dane County (608) 873-1844
MS. NANCY A SHORROCK LCSW
Social Worker (Clinical)
1520 VERNON ST
STOUGHTON, WI 53589
Dane County (608) 873-6422
PHILLIP EDWARD OINONEN D.M.D.
Dentist (General Practice)
1520 VERNON ST
STOUGHTON, WI 53589
Dane County (608) 873-9833
MS. SARAH FRITZ LCSW
Social Worker (Clinical)
1520 VERNON ST
STOUGHTON, WI 53589
Dane County (608) 873-6422

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 Thor Anderson's NPI number?

The NPI number for Thor Anderson is 1790877629. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Thor Anderson located?

Thor Anderson practices at 1520 Vernon St, Stoughton, WI 53589. The listed phone number is (608) 873-7277.

What is Thor Anderson's specialty?

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

Is Thor Anderson enrolled in Medicare?

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

What insurance does Thor Anderson accept?

Health plans from Delta Dental of Wisconsin, Inc. list Thor 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 Thor Anderson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.