Jose Napoleon Andrickson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

051979 Issued in NY

Practice address

792 Flushing Ave
Brooklyn, NY 11206

Phone

(718) 443-5500

Fax

(718) 443-5001

NPI assigned

Sep 7, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Andrickson Dental Office

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1487826053
  NPD (past) Authorized official
• Demo Dental, P.C.

  • Dental Clinic/Center
  • Brooklyn, NY
  • NPI 1295892735
  NPD (past)

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1184819757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 FLUSHING AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11206",
            "telephone_number": "718-443-5500",
            "fax_number": "718-443-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 FLUSHING AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11206",
            "telephone_number": "718-443-5500",
            "fax_number": "718-443-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRICKSON",
        "first_name": "JOSE",
        "middle_name": "NAPOLEON",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-07",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487826053",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yanina Andreyeva
• Irina Andreyko
• Irina Andriasyan, SLP
• Julia Andriasyan
• Andrickson Dental Office
• Ihor Andriushchenko
• Yevheniia Andriushchenko, MD
• Khrystyna Andriychuk
• Malwina Andruczyk, LCSW
• Philip Andrus, PA-S

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.