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

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: August 16, 2026.

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

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
Open in Google Maps ↗

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 Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

What insurance does Jonathon Anderson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 9 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 7 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.