Individual provider Active NPI

Anna Kathryn Ashley Andy, DDS

  • Dentist
  • Gulfport, MS
National Provider Identifier
1205722170
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
111165 Issued in MS
Practice address
412 Security SQ
Gulfport, MS 39507-1952
Phone
(228) 896-6321
Fax
(228) 896-6321
NPI assigned
Jun 16, 2025
Last updated
Jun 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 111165 MS Primary

Addresses

Primary practice location

412 Security SQ
Gulfport, MS 39507-1952

Mailing address

412 Security SQ
Gulfport, MS 39507-1952
Phone (228) 896-6321

Other practice location 1

1025 Division St Ste F
Biloxi, MS 39530-2910
Phone (228) 432-5222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
111165MSMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Compton Healthcare Inc PastSince Jun 23, 2025 Accepting new patients
PFD LLC Dentist PastSince Jun 23, 2025 Accepting new patients
Medical Analysis Dentistry Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1205722170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 SECURITY SQ",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395071952",
            "telephone_number": "228-896-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 SECURITY SQ",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395071952",
            "telephone_number": "228-896-6321",
            "fax_number": "228-896-6321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 Division St Ste F",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "395302910",
            "country_code": "US",
            "telephone_number": "228-432-5222",
            "fax_number": "228-432-5223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDY",
        "first_name": "ANNA KATHRYN",
        "middle_name": "ASHLEY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "111165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.