JONATHON HENNING ANDERSON DDS
NPI 1811979719
Dentist - Oral and Maxillofacial Surgery in Birmingham, MI

Q: What is Jonathon Anderson's NPI number?

The NPI number for Jonathon Anderson is 1811979719. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Q: What is Jonathon Anderson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Jonathon Anderson was last updated on October 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since November 16, 2005PECOS EnrolledAccepts Medicare Assignment

555 S OLD WOODWARD AVE STE 777, BIRMINGHAM, MI 48009(248) 647-4700(248) 647-4730 Get Directions Write a Review

NPPES record last updated: October 15, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 15, 2018, Oct 13, 2018, May 3, 2018 (3 updates tracked since 2018).

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About Jonathon Henning Anderson Dds NPPES

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

JONATHON HENNING ANDERSON DDS (NPI 1811979719) is an individual oral and maxillofacial surgery provider in Birmingham, Michigan, licensed in Michigan (2901012981) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Univ Of Missouri-kansas City School Of Dentistry (1978).

NPPES Registry Identity

NPI1811979719

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameJONATHON HENNING ANDERSONCredential: DDS

Location Address555 S OLD WOODWARD AVE STE 777Birmingham, MI 48009-6618

Mailing Address555 S Old Woodward Ave Ste 777Birmingham, MI 48009-6618 · (248) 647-4700 · Fax (248) 647-4730

Phone(248) 647-4700

Fax(248) 647-4730

Sole ProprietorNo

Medical School CMSUniv Of Missouri-kansas City School Of DentistryGraduated 1978

Enumeration DateNovember 16, 2005

Last NPPES UpdateOctober 15, 20183 updates tracked since enumeration

✔ NPI 1811979719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in MI · 2901012981

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

555 S OLD WOODWARD AVE STE 777, Birmingham, MI 48009

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Other Identifiers 4

Medicaid2990516MI

OtherJA012981MI · License Number

Medicaid4067429MI

Other970F31085MI · Bcbsm

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathon Henning Anderson Dds is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971408600

PECOS Enrollment IDI20031217000946

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 Jonathon Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Birmingham Oral & Maxillofacial Surgery, Plc

Same address

Oral and Maxillofacial Surgery

555 S OLD WOODWARD AVE STE 777
Birmingham, MI 48009

Reassigned Medicare billing, Michigan enrollment

NPI 1598255044 (248) 647-4700

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 48009 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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

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

BIRMINGHAM ORAL & MAXILLOFACIAL SURGERY, PLC

Dentist (Oral and Maxillofacial Surgery)

555 S OLD WOODWARD AVE STE 777
BIRMINGHAM, MI 48009

Oakland County (248) 647-4700

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 Jonathon Anderson's NPI number?

The NPI number for Jonathon Anderson is 1811979719. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Jonathon Anderson located?

Jonathon Anderson practices at 555 S Old Woodward Ave Ste 777, Birmingham, MI 48009. The listed phone number is (248) 647-4700.

What is Jonathon Anderson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Jonathon Anderson enrolled in Medicare?

Yes. Jonathon Anderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jonathon Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathon Anderson reassigns Medicare benefits to Birmingham Oral & Maxillofacial Surgery, Plc (Birmingham, MI). 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 Jonathon Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathon Anderson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 11 other insurers list Jonathon 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 Jonathon Anderson was last updated on October 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.