NPIMap

Organization Active NPI

Paul W Andrus DDS Professional LLC

  • Dentist
  • Lakewood, CO
National Provider Identifier
1306970934
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
HD1-5147 Issued in CO
Legal business name
PAUL W ANDRUS DDS PROFESSIONAL LLC
Practice address
2009 Wadsworth Blvd
Suite 102
Lakewood, CO 80214-5739
Phone
(303) 233-0212
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Paul William Andrus, DDS
Title
Member-Manager
Phone
(303) 233-0212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X HD1-5147 CO Primary

Addresses

Primary practice location

2009 Wadsworth Blvd
Suite 102
Lakewood, CO 80214-5739

Mailing address

2009 Wadsworth Blvd
Lakewood, CO 80214-5739
Phone (303) 233-0212

National Provider Directory

National Provider Directory

Locations

2009 Wadsworth Blvd
Ste 102
Lakewood, CO 80214
Phone (303) 233-0212

2009 Wadsworth Blvd
Lakewood, CO 80214

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306970934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 WADSWORTH BLVD",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145739",
            "telephone_number": "303-233-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 WADSWORTH BLVD",
            "address_2": "SUITE 102",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145739",
            "telephone_number": "303-233-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL W ANDRUS DDS PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDRUS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "MEMBER-MANAGER",
        "authorized_official_telephone_number": "303-233-0212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "HD1-5147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.