Individual provider Active NPI

Andrea Zaandam, DDS

  • General Practice Dentistry
  • Quincy, FL
National Provider Identifier
1144910860
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN29767 Issued in FL
Practice address
1249 Strong Rd
Quincy, FL 32351-5248
Phone
(850) 875-9502
Fax
(850) 627-2786
NPI assigned
May 8, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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 DN29767 FL Primary

Addresses

Primary practice location

1249 Strong Rd
Quincy, FL 32351-5248

Mailing address

2804 Remington Green Cir Ste 2
Tallahassee, FL 32308-1550
Phone (850) 385-4494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20250319004385 FL Practitioner - Dentist 1658893599 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN29767FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Medical Centers, Inc Current Accepting new patients
North Florida Medical Centers, Inc. Current Accepting new patients
North Florida Medical Centers, Inc. CurrentSince Mar 10, 2025 Accepting new patients
Jessie Trice Community Health System Inc PastSince May 1, 2023 Accepting new patients
North Florida Medical Centers Inc Past Accepting new patients

Locations

1328 Coastal Hwy
Panacea, FL 32346
Phone (850) 984-4735

1850 S Byron Butler Pkwy
Perry, FL 32348
Phone (850) 838-2030

1249 Strong Rd
Quincy, FL 32351
Phone (850) 875-9500

2804 Remington Green Cir
Ste 2
Tallahassee, FL 32308

Organizations & group practices 5

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": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1144910860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 REMINGTON GREEN CIR STE 2",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323081550",
            "telephone_number": "850-385-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 STRONG RD",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323515248",
            "telephone_number": "850-875-9502",
            "fax_number": "850-627-2786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAANDAM",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN29767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, FL

Sources for this page

Verify at the official NPI Registry.