Andre Oliver, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE00010014 Issued in WA

Practice address

126 Auburn Ave Ste 100
Auburn, WA 98002-5082

Phone

(253) 804-8713

NPI assigned

Aug 7, 2006

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andre.oliver.p3@direct.hpc.nextgenshare.com

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.

• Healthpoint

  dba HealthPoint Kent Medical

  • Federally Qualified Health Center (FQHC)
  • Kent, WA
  • NPI 1831199454
  Medicare reassignment NPD
• Healthpoint

  dba HealthPoint Renton Medical

  • Federally Qualified Health Center (FQHC)
  • Renton, WA
  • NPI 1629061353
  NPD
• Healthpoint

  dba HealthPoint White Center Medical

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1770471377
  NPD
• Healthpoint

  • Federally Qualified Health Center (FQHC)
  • Federal Way, WA
  • NPI 1104819788

  General Practice

  NPD (past)
• Healthpoint

  • Federally Qualified Health Center (FQHC)
  • Tukwila, WA
  • NPI 1124482310
  NPD (past)
• Healthpoint

  • Federally Qualified Health Center (FQHC)
  • Bothell, WA
  • NPI 1447515887
  NPD (past)
• Healthpoint

  dba Healthpoint Midway Dental

  • Federally Qualified Health Center (FQHC)
  • Des Moines, WA
  • NPI 1477807261
  NPD (past)
• Healthpoint

  • Federally Qualified Health Center (FQHC)
  • Kent, WA
  • NPI 1538152269

  General Practice

  NPD (past)
• Healthpoint

  • Federally Qualified Health Center (FQHC)
  • Redmond, WA
  • NPI 1548253263

  General Practice

  NPD (past)
• Healthpoint

  • Federally Qualified Health Center (FQHC)
  • Auburn, WA
  • NPI 1730172420

  General Practice

  NPD (past)
• Healthpoint

  dba HealthPoint SeaTac Dental

  • Federally Qualified Health Center (FQHC)
  • Seatac, WA
  • NPI 1831778620
  NPD (past)
• Healthpoint

  dba HealthPoint Redmond Medical

  • Federally Qualified Health Center (FQHC)
  • Redmond, WA
  • NPI 1891795621
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1174532923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908",
            "telephone_number": "425-277-1311",
            "fax_number": "425-277-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 AUBURN AVE STE 100",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980025082",
            "telephone_number": "253-804-8713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1708 E. 44th Street",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "98404",
            "country_code": "US",
            "telephone_number": "253-572-7002",
            "fax_number": "253-593-2854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "ANDRE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010014",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00010014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5046974",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aoliver20242@healthpoint.direct-ci.com",
            "affiliation": "N",
            "address_1": "126 Auburn Ave Ste 100",
            "city": "Auburn",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980025082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Khampho Thammavongxay Ohno
• Romanus Tochukwu Okonkwo
• Clara Olea Galeana
• Gregory Oleson, LMFT
• Alicia Oliver
• Joelle Marie Olivier, RN
• Stephen R. Olmstead, MD
• Alexandra Olson
• Donald Wayne Olson, D.C.
• Kali Olsson

• Dentist in Auburn, WA
• Providers in Auburn, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.