Active NPI
Andrew F. Heidergott, DDS, PS
- General Practice Dentistry
- Spokane, WA
National Provider Identifier
1326318643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE60107465
- Legal business name
- ANDREW F. HEIDERGOTT, DDS, PS
- Practice address
- 10121 N Nevada St
Suite 202
Spokane, WA 99218-3120 - Phone
- (509) 466-6979
- Fax
- (509) 466-0731
- NPI assigned
- Jan 3, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrew F Heidergott, DDS
- Title
- President
- Phone
- (509) 466-6979
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE60107465 | WA | Primary |
Addresses
Primary practice location
10121 N Nevada St
Suite 202
Spokane, WA 99218-3120
Mailing address
10121 N Nevada St
Suite 202
Spokane, WA 99218-3120
Phone (509) 466-6979
National Provider Directory
National Provider DirectoryLocations
10121 N Nevada St
Ste 202
Spokane, WA 99218
Phone (509) 466-6979
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Spokane, WA
- NPI 1730251265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325548800000",
"number": "1326318643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10121 N NEVADA ST",
"address_2": "SUITE 202",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992183120",
"telephone_number": "509-466-6979",
"fax_number": "509-466-0731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10121 N NEVADA ST",
"address_2": "SUITE 202",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992183120",
"telephone_number": "509-466-6979",
"fax_number": "509-466-0731"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDREW F. HEIDERGOTT, DDS, PS",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-03",
"last_updated": "2012-01-03",
"status": "A",
"authorized_official_last_name": "HEIDERGOTT",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "509-466-6979",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE60107465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.