Andrew J Oas, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D7789 Issued in OR

Practice address

1097 Baltimore Ave SE
Bandon, OR 97411-9120

Phone

(541) 329-0550

Fax

(541) 329-0309

NPI assigned

Mar 16, 2007

Sex

Male

Sole proprietor

No

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.

• Bandon Coastal Dental, LLC

  • Clinic/Center
  • Bandon, OR
  • NPI 1063756401
  NPD (past)
• East Main Dental Center, LLP

  • General Practice Dentistry
  • Medford, OR
  • NPI 1700819596
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 20, 2018.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539993600000",
    "number": "1013041201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1097 BALTIMORE AVE SE",
            "city": "BANDON",
            "state": "OR",
            "postal_code": "974119120",
            "telephone_number": "541-329-0550",
            "fax_number": "541-329-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 BALTIMORE AVE SE",
            "city": "BANDON",
            "state": "OR",
            "postal_code": "974119120",
            "telephone_number": "541-329-0550",
            "fax_number": "541-329-0309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1123 E Main St",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975047434",
            "country_code": "US",
            "telephone_number": "541-773-3422",
            "fax_number": "541-779-2250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OAS",
        "first_name": "ANDREW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2018-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D7789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachelle Marmor, L.AC
• Gail K McClave, MD
• Holly E McKenzie
• Tracy Ann Merriam, LCSW
• Holly J Mousa, PHARMD
• Karen Jane Olson, CFNP-APRN
• Oregon Retina, LLP
• Pacific Sleep & Respiratory Diagnostics LLC
• Paul Pantleo
• Jonathon Lex Park, MD

• All providers in Bandon, OR
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.