Individual provider Active NPI

Sandra Andrew, DDS

  • General Practice Dentistry
  • Roanoke, VA
National Provider Identifier
1003073008
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401006094 Issued in VA
Practice address
212 Highland Ave SW
Roanoke, VA 24016-4416
Phone
(540) 344-6535
Fax
(540) 345-6986
NPI assigned
May 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401006094 VA Primary

Addresses

Primary practice location

212 Highland Ave SW
Roanoke, VA 24016-4416

Mailing address

212 Highland Ave SW
Roanoke, VA 24016-4416
Phone (540) 344-6535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150501002071 VA Order and Referring Only - Other (Non-Physician) 5395064968

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Newman, DDS, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sandra.andrew.1@18289.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1003073008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 HIGHLAND AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164416",
            "telephone_number": "540-344-6535",
            "fax_number": "540-345-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 HIGHLAND AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164416",
            "telephone_number": "540-344-6535",
            "fax_number": "540-345-6986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREW",
        "first_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401006094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.