Individual provider Active NPI

Robert Faus Andrus, DDS

  • General Practice Dentistry
  • Colorado Springs, CO
National Provider Identifier
1114929627
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8161 Issued in CO
Practice address
1803 B St
Colorado Springs, CO 80906-5303
Phone
(719) 576-1730
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8161 CO Primary

Addresses

Primary practice location

1803 B St
Colorado Springs, CO 80906-5303

Mailing address

3318 Apogee VW
Colorado Springs, CO 80906-4046
Phone (303) 884-5727

Other practice location 1

3318 Apogee Vw
Colorado Springs, CO 80906-4046
Phone (303) 884-5727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8161COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Robert Andrus DDS Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1114929627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3318 APOGEE VW",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064046",
            "telephone_number": "303-884-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 B ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809065303",
            "telephone_number": "719-576-1730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3318 Apogee Vw",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809064046",
            "country_code": "US",
            "telephone_number": "303-884-5727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDRUS",
        "first_name": "ROBERT",
        "middle_name": "FAUS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.