NPIMap

Organization Active NPI

Andre & Judson Dental Corporation

  • General Practice Dentistry
  • Pleasanton, CA
National Provider Identifier
1023312105
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43697 Issued in CA
Legal business name
ANDRE & JUDSON DENTAL CORPORATION
Practice address
1436 Cedarwood LN Ste C
Pleasanton, CA 94566-6150
Phone
(925) 462-1990
NPI assigned
Jan 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Authorized official

Name
Dr. Kerry Elizabeth Andre, D.D.S.NPI 1265704936
Title
Dentist/Chairman of the Board
Phone
(925) 462-1990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 43698 CA
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 43697 CA Primary

Addresses

Primary practice location

1436 Cedarwood LN Ste C
Pleasanton, CA 94566-6150

Mailing address

1436 Cedarwood LN Ste C
Pleasanton, CA 94566-6150
Phone (925) 462-1990

National Provider Directory

National Provider Directory

Locations

1436 Cedarwood Ln
Ste C
Pleasanton, CA 94566
Phone (925) 462-1990

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1023312105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 CEDARWOOD LN STE C",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666150",
            "telephone_number": "925-462-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 CEDARWOOD LN STE C",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666150",
            "telephone_number": "925-462-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRE & JUDSON DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "ANDRE",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "DENTIST/CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "925-462-1990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43698",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.