IndividualActive
Brad Andersen, D.M.D.
NPI 1053761189 · General Practice Dentistry · Mountain City, TN
Brad Andersen, D.M.D. is a General Practice Dentistry provider in Mountain City, TN (NPI 1053761189).
Provider details
- NPI number
- 1053761189
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- D01443 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
144 Calvary Ln
Mountain City, TN 37683-4306
Phone: (423) 727-0655
Street-level locationGet directions
Mailing address
144 Calvary Ln
Mountain City, TN 37683-4306
Registry dates
- Enumerated
- 2016-06-20
- Last updated
- 2022-07-05
- Certified
- 2022-07-05
Frequently asked questions
- What is Brad Andersen's NPI number?
- Brad Andersen's National Provider Identifier (NPI) is 1053761189, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brad Andersen's specialty?
- Brad Andersen is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Brad Andersen located?
- Brad Andersen's practice location on file with NPPES is 144 Calvary Ln, Mountain City, TN 37683-4306.
- What is Brad Andersen's phone number?
- The practice phone number listed in the NPPES registry for Brad Andersen is (423) 727-0655.
- Is Brad Andersen's NPI active?
- Yes — Brad Andersen's NPI (1053761189) is active in the NPPES registry as of the last update on 2022-07-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.