DR. MARY L ANDERSON DDS
NPI 1831200674
Dentist - General Practice in Maplewood, MN

Q: What is Mary Anderson's NPI number?

The NPI number for Mary Anderson is 1831200674. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Mary Anderson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary 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.

Active since August 31, 2006PECOS Enrolled

2165 WHITE BEAR AVE, MAPLEWOOD, MN 55109(651) 770-8828(651) 779-1570 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Mary L Anderson Dds NPPES

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

DR. MARY L ANDERSON DDS (NPI 1831200674) is an individual general practice provider in Maplewood, Minnesota, licensed in Minnesota (9871) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831200674

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MARY L ANDERSONCredential: DDS

Location Address2165 WHITE BEAR AVEMaplewood, MN 55109

Mailing AddressMail Code 21113a, Po Box 1309Minneapolis, MN 55440-1309 · (952) 883-5151 · Fax (952) 883-5160

Phone(651) 770-8828

Fax(651) 779-1570

Sole ProprietorNo

Enumeration DateAugust 31, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1831200674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MN · 9871

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.

2165 WHITE BEAR AVE, Maplewood, MN 55109

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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. Mary L 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 55109 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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 5

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

DUANE K HASEGAWA MD

Pediatrics

2165 WHITE BEAR AVE, MAIL STOP 31600A
MAPLEWOOD, MN 55109

Ramsey County (651) 779-1500

MICHELLE A LARSON RD

Dietitian, Registered

2165 WHITE BEAR AVE, MAIL STOP 31600A
MAPLEWOOD, MN 55109

Ramsey County (651) 779-1500

DR. OLOLADE O MAREK DDS

Dentist (General Practice)

2165 WHITE BEAR AVE
MAPLEWOOD, MN 55109

Ramsey County (651) 770-8828

GAIL M AMUNDSON MD

Internal Medicine

2165 WHITE BEAR AVE, MAIL STOP 31600A
MAPLEWOOD, MN 55109

Ramsey County (651) 779-1500

DR. KAREN M RALEIGH DDS

Dentist (General Practice)

2165 WHITE BEAR AVE
MAPLEWOOD, MN 55109

Ramsey County (651) 770-8828

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 Mary Anderson's NPI number?

The NPI number for Mary Anderson is 1831200674. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Mary Anderson located?

Mary Anderson practices at 2165 White Bear Ave, Maplewood, MN 55109. The listed phone number is (651) 770-8828.

What is Mary Anderson's specialty?

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

Is Mary Anderson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mary 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.