Andrey Gaiduchik, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

103200 Issued in CA

Practice address

5740 Windmill Way Ste 16
Carmichael, CA 95608-1379

Phone

(916) 331-0841

NPI assigned

Feb 1, 2016

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

State licenses

Practice roles

Locations

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.

• Gaiduchik Dental Corp

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Carmichael, CA
  • NPI 1811459332
  NPD Authorized official

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1144688532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 W ROBINHOOD DR STE 20",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075519",
            "telephone_number": "209-477-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 WINDMILL WAY STE 16",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956081379",
            "telephone_number": "916-331-0841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 W Robinhood Dr Ste 20",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952075519",
            "country_code": "US",
            "telephone_number": "209-477-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAIDUCHIK",
        "first_name": "ANDREY",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-01",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "103200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanner Furgeson
• G Boparai MD Inc
• Maria Stella M Gaerlan, M.D.
• Igal Gafter, RPH
• Gaiduchik Dental Corp
• Theodry Gallaread
• Andrew Ravella Galli, PA-C
• Christopher Galli, DPM
• Gabriel Galofre, M.D.
• Mary Ann Galvez

• Orthodontics and Dentofacial Orthopedics Dentistry in Carmichael, CA
• Providers in Carmichael, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.