Organization Active NPI

Andrew F. Heidergott, DDS, PS

  • General Practice Dentistry
  • Spokane, WA
National Provider Identifier
1326318643
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60107465 Issued in WA
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

Updated by the provider on Jan 3, 2012

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.