Active NPI
Andrea Twitchell
- Dentist
- Blanding, UT
National Provider Identifier
1306585310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12872576-9922
- Practice address
- 910 S 300 W
Blanding, UT 84511-3921 - Phone
- (435) 678-0700
- NPI assigned
- May 31, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12872576-9922 | UT | Primary |
Addresses
Primary practice location
910 S 300 W
Blanding, UT 84511-3921
Mailing address
22016 N 74TH LN
Glendale, AZ 85310-5636
Phone (435) 619-1859
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12872576-9922 | UT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Navajo Health System, Incorporated | Past | Accepting new patients | |
| Utah Navajo Health System, Incorporated | Past | Accepting new patients | |
| Utah Navajo Health System, Incorporated | Past | Accepting new patients |
Interoperability endpoints
- andrea.twitchell.1@16098.direct.athenahealth.com
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.
-
dba Blanding Family Practice Community Health Center
- Family Medicine Physician
- Blanding, UT
- NPI 1457489486
-
dba Monument Valley Health Community Health Center
- Family Medicine Physician
- Monument Valley, UT
- NPI 1699803635
-
dba Montezuma Creek Community Health Center
- Federally Qualified Health Center (FQHC)
- Montezuma Creek, UT
- NPI 1811991151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653955200000",
"number": "1306585310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22016 N 74TH LN",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853105636",
"telephone_number": "435-619-1859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 S 300 W",
"city": "BLANDING",
"state": "UT",
"postal_code": "845113921",
"telephone_number": "435-678-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TWITCHELL",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-31",
"last_updated": "2022-05-31",
"certification_date": "2022-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "12872576-9922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blanding, UT
- Taylor G Wright, PC (Innovation Medical Group)
- Laura L Timmerman, M.P.T.
- Melinda Toledo
- Transitions Inc.
- Victoria Trevizo
- Uew Ut, LLC
- Utah Navajo Health System (Blanding Family Pharmacy)
- Utah Navajo Health System Incorporated (Blanding Family Vision Clinic)
- Utah Navajo Health System Incorporated (Utah Navajo Health System Infusion Center)
- Utah Navajo Health System Incorporated (Blanding Family Chiropractic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.