NPIMap

Organization Active NPI

Andes Dental PLLC

  • General Practice Dentistry
  • Bellaire, TX
National Provider Identifier
1245526995
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
26550 Issued in TX
Legal business name
ANDES DENTAL PLLC
Practice address
5212 Cedar St
Bellaire, TX 77401-3915
Phone
(713) 668-3677
Fax
(713) 661-2597
NPI assigned
Jun 21, 2011
Last updated
Jun 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Authorized official

Name
Shashidhar RamchandrareddyNPI 1033317813
Title
Member
Phone
(617) 820-9291

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 26550 TX Primary

Addresses

Primary practice location

5212 Cedar St
Bellaire, TX 77401-3915

Mailing address

5212 Cedar St
Bellaire, TX 77401-3915
Phone (713) 668-3677

National Provider Directory

National Provider Directory

Locations

5212 Cedar St
Bellaire, TX 77401
Phone (713) 668-3677

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1245526995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 CEDAR ST",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013915",
            "telephone_number": "713-668-3677",
            "fax_number": "713-661-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 CEDAR ST",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013915",
            "telephone_number": "713-668-3677",
            "fax_number": "713-661-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDES DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "RAMCHANDRAREDDY",
        "authorized_official_first_name": "SHASHIDHAR",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "617-820-9291"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.