Paul Andreatta D.D.S.P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PAUL ANDREATTA D.D.S.P.C.

Practice address

1723 E. Main St.
Trinidad, CO 81082

Phone

(719) 846-4028

Fax

(719) 845-0097

NPI assigned

Sep 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul A. Andreatta, D.D.S.NPI 1104825561

Title

Owner/Dentist

Phone

(719) 846-4028

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

Paul a Andreatta DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Paul a. Andreatta DDS PC

  • Dentist
  • Trinidad, CO
  • NPI 1336527506
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul A Andreatta, D.D.S. P.C.

  • General Practice Dentistry
  • Trinidad, CO
  • NPI 1104825561
  Authorized official Same address or phone

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023119203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 E. MAIN ST.",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "81082",
            "telephone_number": "719-846-4028",
            "fax_number": "719-845-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 E. MAIN ST.",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "81082",
            "telephone_number": "719-846-4028",
            "fax_number": "719-845-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL ANDREATTA D.D.S.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDREATTA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "719-846-4028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH  UPS",
            "identifier": "AETNA HEALTH PLAN UP",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "BLUE CROSS BLUE SHIE",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "DELTA DENTAL",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucy Obianuju Norrell, DNP
• Dina Renee Olguin, CAC II
• Online Therapy Services Inc. (Mariposa Rehab Center)
• Mikayla Padilla
• Paul a. Andreatta DDS PC
• David Richard Paz, M.D.
• Peak Physiotherapy & Wellness, LLC (Peak Physiotherapy & Wellness)
• Huong Hoa Thi Pham, PHARM D
• Jameson Moon Pickerill, PHARMD
• Fatima Pina, R.D.,L.D.

• General Practice Dentistry in Trinidad, CO
• Providers in Trinidad, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.