Active NPI
Luis Carlos Andrews, D.D.S.
- General Practice Dentistry
- Merced, CA
National Provider Identifier
1346383866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 49269
- Practice address
- 505 W 20TH St
Merced, CA 95340-3704 - Phone
- (209) 725-2980
- Fax
- (209) 725-2984
- NPI assigned
- Feb 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 49269 | CA | Primary |
Addresses
Primary practice location
505 W 20TH St
Merced, CA 95340-3704
Mailing address
505 W 20TH St
Merced, CA 95340-3704
Phone (209) 725-2980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49269 | Medicaid | CA |
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 |
|---|---|---|---|
| 49269 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luis C Andrews DDS Inc | General Practice | Current | Accepting new patients |
Locations
505 W 20th St
Merced, CA 95340
Phone (209) 725-2980
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502150400000",
"number": "1346383866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 W 20TH ST",
"city": "MERCED",
"state": "CA",
"postal_code": "953403704",
"telephone_number": "209-725-2980",
"fax_number": "209-725-2984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 W 20TH ST",
"city": "MERCED",
"state": "CA",
"postal_code": "953403704",
"telephone_number": "209-725-2980",
"fax_number": "209-725-2984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "LUIS",
"middle_name": "CARLOS",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2017-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "49269",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "49269",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.