Edilberto De Andrade, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

S4-24 Issued in NV

Practice address

2610 W Horizon Ridge Pkwy
Suite 202
Henderson, NV 89052-2869

Phone

(702) 270-4600

Fax

(702) 270-7773

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in NV

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)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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 and National Provider Directory roles.

• Anthem Periodontics and Dental Implants

  • Periodontics
  • Henderson, NV
  • NPI 1861942625
  NPD (past)
• Ed Deandrade DDS, LTD.

  • Periodontics
  • Henderson, NV
  • NPI 1144331588
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503446400000",
    "number": "1114036969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 W HORIZON RIDGE PKWY",
            "address_2": "SUITE 202",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522869",
            "telephone_number": "702-270-4600",
            "fax_number": "702-270-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 W HORIZON RIDGE PKWY",
            "address_2": "SUITE 202",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522869",
            "telephone_number": "702-270-4600",
            "fax_number": "702-270-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE ANDRADE",
        "first_name": "EDILBERTO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2017-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NV",
            "license": "S4-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek T Day, DC
• Elizabeth Erin Redlinger Day, DMD
• Sarah C Day, NP
• Joan Dayrit
• Dba Anesthesia Associates
• Natasha De Asis, RN
• De Corazon Counseling Las Vegas LLC
• Claudia Beatriz De Ferrer
• Jocelyn De Guia
• John Joseph De Guzman, APRN

• Periodontics in Henderson, NV
• Providers in Henderson, NV by specialty
• Periodontics in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; 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.