Andrew Eggebraten, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

57227 Issued in CA

Practice address

110 Portal St
Oak View, CA 93022-9722

Phone

(805) 649-1137

NPI assigned

Aug 15, 2008

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

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1174779672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PORTAL ST",
            "city": "OAK VIEW",
            "state": "CA",
            "postal_code": "930229722",
            "telephone_number": "805-649-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PORTAL ST",
            "city": "OAK VIEW",
            "state": "CA",
            "postal_code": "930229722",
            "telephone_number": "805-649-1137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Portal St",
            "address_purpose": "LOCATION",
            "city": "Oak View",
            "state": "CA",
            "postal_code": "930229722",
            "country_code": "US",
            "telephone_number": "805-649-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Portal St",
            "address_purpose": "LOCATION",
            "city": "Oak View",
            "state": "CA",
            "postal_code": "930229722",
            "country_code": "US",
            "telephone_number": "805-649-1137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGGEBRATEN",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-15",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Memorial Health System
• Iliana Correa
• Council on Alcoholism and Drug Abuse
• Jennifer A Cruz, SUDRC
• Therese Duncan
• Kristina Lee Foster
• Caroline Frambach
• James Paul Gay, M.D.
• Laura Kathryn Gluck, FNP
• Charlotte Grant

• General Practice Dentistry in Oak View, CA
• Providers in Oak View, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.