Andrei Marechek, MD, DDS

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

A169364 Issued in CA

Practice address

3535 Perkins Rd Ste 345
Baton Rouge, LA 70808-2293

Phone

(225) 747-0181

NPI assigned

Apr 23, 2014

Last updated

Apr 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 7

Addresses

Other names 1

• Andrei Meniailenko Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Regents of the University of California

  dba UCLA Integrated Provider Network

  • Podiatrist
  • Los Angeles, CA
  • NPI 1750723540

  Dentist

  Medicare reassignment NPD
• Marechek and Sagong Surgery Partnership

  dba Maxillo-Facial Surgery Institute, Irvine

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Irvine, CA
  • NPI 1518723857
  NPD Authorized official
• Regents of the University of California

  dba UCLA Integrated Provider Network

  • Durable Medical Equipment & Medical Supplies
  • Valencia, CA
  • NPI 1285507103
  NPD
• Jacob Dent, DDS a Professional Corporation

  dba Acadian Modern Dentistry

  • Dentist
  • Batson Rouge, LA
  • NPI 1811368665
  NPD (past)

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618617600000",
    "number": "1033539606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S ALAMEDA ST UNIT 140",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900123930",
            "telephone_number": "858-361-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 PERKINS RD STE 345",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708082293",
            "telephone_number": "225-747-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARECHEK",
        "first_name": "ANDREI",
        "credential": "MD, DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-23",
        "last_updated": "2021-04-17",
        "certification_date": "2021-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "30-024392",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "LA",
            "license": "6973",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "LA",
            "license": "6973",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "104868",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "OH",
            "license": "30-024392",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "A169364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREI",
            "last_name": "MENIAILENKO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nancy L.Evert Marchand, M.S.W., L.C.S.W.
• Jacy Quinn Marchiafava, CRNA
• Rachel Marcia
• Marco Rodriguez MD LLC (International Spine Institute)
• Catherine Miller Marcus, NP
• Mari Medical
• Shadia Jeannette Maria Ibanez, MD
• Marian's Medical Supplies, LLC
• Marian's Medical Supplies, LLC
• Ashlyn Rayne Maricelli

• Oral & Maxillofacial Surgery (D.M.D.) in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2021; 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.