Morris Jose De Leon Andrino, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

7165 Issued in WI

Practice address

2727 N Grandview Blvd Ste 206
Waukesha, WI 53188-1671

Phone

(262) 542-8402

NPI assigned

Apr 28, 2011

Last updated

Nov 16, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dental Associates LTD of Wisconsin

  • Endodontics
  • Wauwatosa, WI
  • NPI 1518266998

  General Practice

  NPD (past)
• Waukesha Pediatric Dental Care SC

  • Pediatric Dentistry
  • Waukesha, WI
  • NPI 1124168638
  NPD (past)

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1164713806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 N MAYFAIR RD",
            "address_2": "SUITE 311",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532223219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 N GRANDVIEW BLVD STE 206",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881671",
            "telephone_number": "262-542-8402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11711 W Burleigh St",
            "address_purpose": "LOCATION",
            "city": "Wauwatosa",
            "state": "WI",
            "postal_code": "532223108",
            "country_code": "US",
            "telephone_number": "414-771-2345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1211 Dolphin Ct",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531861488",
            "country_code": "US",
            "telephone_number": "262-436-3363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LEON ANDRINO",
        "first_name": "MORRIS",
        "middle_name": "JOSE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-28",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60332",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WI",
            "license": "7165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadine Davis, RN, BSN
• Todd Andrew Davis, PHARMD
• Scott Dawley, MA, MS, LPC
• Carolyn K Day, MD
• Jennifer Marie Dayton Teichmiller, MPT
• Sharon K De Vries, P.A.
• Angela Dean
• Maria Dean, BSW
• Deborah a Stec PHD Inc
• Cynthia Kae Decker-Riddle, O.D.

• Pediatric Dentistry in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Pediatric Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.