Active NPI
Andrea Baiotto Dorris, DC
- Sports Physician Chiropractor
- San Diego, CA
National Provider Identifier
1124358361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 31472
- Practice address
- 10330 Friars Rd Ste 111
San Diego, CA 92120-2300 - Phone
- (619) 281-7800
- NPI assigned
- Jan 11, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 31472 | CA | Primary |
Addresses
Primary practice location
10330 Friars Rd Ste 111
San Diego, CA 92120-2300
Mailing address
10330 Friars Rd Ste 111
San Diego, CA 92120-2300
Phone (619) 281-7800
Other names 1
- Andrea Leigh Baiotto
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31472 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524096000000",
"number": "1124358361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10330 FRIARS RD STE 111",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921202300",
"telephone_number": "619-281-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10330 FRIARS RD STE 111",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921202300",
"telephone_number": "619-281-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORRIS",
"first_name": "ANDREA",
"middle_name": "BAIOTTO",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-11",
"last_updated": "2018-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "31472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "BAIOTTO",
"middle_name": "LEIGH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.