Andrew DO, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

112349 Issued in CA

Practice address

15052 Springdale St Ste E
Huntington Beach, CA 92649-1116

Phone

(714) 898-0718

NPI assigned

Apr 1, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1073365441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15052 SPRINGDALE ST STE E",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926491116",
            "telephone_number": "714-898-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15052 SPRINGDALE ST STE E",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926491116",
            "telephone_number": "714-898-0718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24247 Hawthorne Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905056563",
            "country_code": "US",
            "telephone_number": "310-544-0544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "226 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908023213",
            "country_code": "US",
            "telephone_number": "562-535-9887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DO",
        "first_name": "ANDREW",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-01",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "112349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.