Active NPI
Andrew Nardecchia, DDS
- General Practice Dentistry
- Carbondale, CO
National Provider Identifier
1396807160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8940
- Practice address
- 889 Main CT
Carbondale, CO 81623-1851 - Phone
- (970) 963-1616
- Fax
- (844) 602-4638
- NPI assigned
- Dec 15, 2006
- Last updated
- Mar 13, 2025
- 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 | 8940 | CO | Primary |
Addresses
Primary practice location
889 Main CT
Carbondale, CO 81623-1851
Mailing address
889 Main Court
Carbondale, CO 81623
Phone (970) 963-1616
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 |
|---|---|---|---|
| 8940 | CO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carbondale Family Dental | General Practice | Current | Accepting new patients |
| Advantage Dental Group, PC | General Practice | Past | Accepting new patients |
Locations
889 Main Ct
Carbondale, CO 81623
Phone (970) 963-1616
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Carbondale, CO
- NPI 1265577498
-
dba Advantage Dental Oral Health Center
- General Practice Dentistry
- Bend, OR
- NPI 1972970671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1396807160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "889 MAIN COURT",
"city": "CARBONDALE",
"state": "CO",
"postal_code": "81623",
"telephone_number": "970-963-1616",
"fax_number": "844-602-4638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "889 MAIN CT",
"city": "CARBONDALE",
"state": "CO",
"postal_code": "816231851",
"telephone_number": "970-963-1616",
"fax_number": "844-602-4638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARDECCHIA",
"first_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "8940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Mountain Family Health Centers
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- Susan Lynn Mowday, PT
- Alan Arthur Nelson, M.D.
- Next Breath Psychology LLP
- Bradford Eugene Nicholson, D.D.S.
- Anne Valentine Nickamin, LCSW
- Oneopto Co 1 PLLC (20/20 EyeCare)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.