Andrew M. Elmer, DDS, MSD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DE61202864 Issued in WA

Practice address

3151 E 29TH Ave Ste 201
Spokane, WA 99223-4800

Phone

(509) 535-1720

Fax

(509) 535-7550

NPI assigned

Apr 12, 2017

Last updated

Jun 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in LA

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aes North Spokane

  dba Access Endodontic Specialists

  • Endodontics
  • Spokane, WA
  • NPI 1033379169
  NPD (past)
• DRS. Ottosen and Nygard, PLLC

  • Dental Clinic/Center
  • Wenatchee, WA
  • NPI 1023566221
  NPD (past)
• Scott J. Starley DDS, MSD, PS

  dba Inland Endodontics

  • Endodontics
  • Spokane, WA
  • NPI 1558583336
  NPD (past)
• Stephen R. Ottosen, D.D.S., M.S.D., P.S.

  • Dental Clinic/Center
  • Wenatchee, WA
  • NPI 1285087296
  NPD (past)
• Beach View Family Dental, PLLC

  • General Practice Dentistry
  • Gulfport, MS
  • NPI 1831603257
  NPD (past)

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718496000000",
    "number": "1235663717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 E 29TH AVE STE 201",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234800",
            "telephone_number": "509-535-1720",
            "fax_number": "509-535-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 E 29TH AVE STE 201",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234800",
            "telephone_number": "509-535-1720",
            "fax_number": "509-535-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMER",
        "first_name": "ANDREW",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-12",
        "last_updated": "2024-06-16",
        "certification_date": "2024-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE61202864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacie Ellis
• Aliece Ellisen, PTA
• Madison Ellison
• Charity A Elmendorf, ARNP
• Karen L Elmendorf, RN
• James B Elmer, M.D.- RETIRED
• Jeffrey Charles Elmer, M.D.
• Ryan James Elmore
• Stephanie Elise Elmore, PSYD
• Taylor Lynn Elmore

• Endodontics in Spokane, WA
• Providers in Spokane, WA by specialty
• Endodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2024; 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.