DR. JAY ROSAMOND ANDERSON DMD NPI 1194070110

NPI Information

NPI: 1194070110
Provider Name: DR. JAY ROSAMOND ANDERSON, DMD
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
1125 E CALIFORNIA AVE
BAKERSFIELD, CA
ZIP 93307
Phone: (661) 632-2144
Get Directions

DR. Jay Rosamond Anderson, DMD is a general practice dentist in Bakersfield, CA. The provider is 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. DR. Jay Rosamond Anderson, DMD NPI is 1194070110. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1125 E CALIFORNIA AVE
BAKERSFIELD, CA
ZIP 93307-201
Phone: (661) 632-2144
Fax: (661) 328-4211

The NPI 1194070110 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/16/2012 and was last updated on 6/2/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		4887	KENTUCKY	No
2	122300000X	Dentist		DF0027	OREGON	No
3	122300000X	Dentist		DN1856087	MASSACHUSETTS	No
4	1223G0001X	Dentist	General Practice	101391	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PENDING	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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