Andrew Spath DDS, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ANDREW SPATH DDS, INC

Practice address

2121 E Coast Hwy Ste 290
Corona del Mar, CA 92625-1940

Phone

(949) 612-2356

Fax

(949) 544-5207

NPI assigned

Apr 15, 2019

Organization subpart

No

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

Authorized official

Name

Andrew Spath, DDSNPI 1972745362

Title

Owner

Phone

(949) 612-2356

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew W Spath, DDS

  • General Practice Dentistry
  • Corona del Mar, CA
  • NPI 1972745362
  NPD (past) Authorized official

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555286400000",
    "number": "1194388231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E COAST HWY STE 290",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926251940",
            "telephone_number": "949-612-2356",
            "fax_number": "949-544-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E COAST HWY STE 290",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926251940",
            "telephone_number": "949-612-2356",
            "fax_number": "949-544-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW SPATH DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A",
        "authorized_official_last_name": "SPATH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-612-2356",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Corona del Mar, CA
• Providers in Corona del Mar, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.