Individual provider Active NPI

Andrea P Bernhardt, DDS

  • General Practice Dentistry
  • Orange, CA
National Provider Identifier
1255814364
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
103226 Issued in CA
Practice address
7530 E Chapman Ave
Orange, CA 92869-4524
Phone
(657) 223-0012
Fax
(657) 223-0014
NPI assigned
Sep 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 103226 CA
General Practice Dentistry 1223G0001X 103226 CA Primary

Addresses

Primary practice location

7530 E Chapman Ave
Orange, CA 92869-4524

Mailing address

7530 E Chapman Ave
Orange, CA 92869-4524
Phone (657) 223-0012

Other identifiers 1

IdentifierTypeStateIssuer
103226OtherCADENTAL LICENSE

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
103226CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Andrea P Bernhardt DDS Inc General Practice CurrentSince Mar 31, 2024 Accepting new patients
De Leon Dentistry General & Cosmestic General Practice Past Accepting new patients

Locations

7530 E Chapman Ave
Orange, CA 92869
Phone (657) 223-0012

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1255814364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7530 E CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928694524",
            "telephone_number": "657-223-0012",
            "fax_number": "657-223-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7530 E CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928694524",
            "telephone_number": "657-223-0012",
            "fax_number": "657-223-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNHARDT",
        "first_name": "ANDREA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "103226",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "103226",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.