Andrew Malsbary, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901021934 Issued in MI

Practice address

1206 Gull Rd
Kalamazoo, MI 49048-1654

Phone

(269) 385-2100

NPI assigned

Jun 6, 2016

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 MI

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

Practice roles

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.

• Van Buren-Cass County District Health Department

  • Public Health or Welfare Agency
  • Lawrence, MI
  • NPI 1881804581
  NPD (past)
• Van Buren/Cass District Health Department

  • Public Health or Welfare Agency
  • Lawrence, MI
  • NPI 1639261886
  NPD (past)

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1306295878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 GULL RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481654",
            "telephone_number": "269-385-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 GULL RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481654",
            "telephone_number": "269-385-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALSBARY",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-06",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901021934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy John Mallett, RPH
• William Maxwell Malloy
• Lauren Malone
• Joyce Ann Maloney
• Tiffany Malory, LPC
• Andrea Malsom, MA CCC-SLP
• Shaan Shahzad Manawar, MD
• Jon K Manby, LMSW, ACSW
• Catalina Mancera
• Gennifer Manders, MA, LPC

• General Practice Dentistry in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.