Cameron D Andrew, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

D011401 Issued in AZ

Practice address

1658 Oaklawn Dr Ste B
Prescott, AZ 86305-1110

Phone

(928) 771-1640

NPI assigned

Aug 24, 2011

Last updated

Jun 13, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

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

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.

• Prescott Endodontic Associates PC

  • Endodontics
  • Prescott, AZ
  • NPI 1588620231
  NPD (past)

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1104106996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7696 E KNOTS PASS",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141904",
            "telephone_number": "208-410-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1658 OAKLAWN DR STE B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051110",
            "telephone_number": "928-771-1640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 S 27th St",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "591014227",
            "country_code": "US",
            "telephone_number": "208-410-1711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDREW",
        "first_name": "CAMERON",
        "middle_name": "D",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-24",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D-4388",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "D011401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marion Elizabeth Anderson, LMFT
• Mary Elizabeth Anderson, MA, LMFT
• Russell A. Anderson, MSW
• Sabrina E Anderson, DC
• Ljudevit Andres, M.D.
• Victoria Michelle Angel, APRN, FNP-BC
• Angela Seesholtz Counseling Dba Resilient Brain Prescott (Angela Seesholtz Counseling PLLC)
• Anson L Hooper DDS PLLC (Hooper Family Dental)
• Thresiamma S Anthony, RN, MSN-FNP-C
• Anthracite Medical PLLC

• Endodontics in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Endodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.