Individual provider Active NPI

Andrew Nardecchia, DDS

  • General Practice Dentistry
  • Carbondale, CO
National Provider Identifier
1396807160
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8940 Issued in CO
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
8940COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Carbondale Family Dental General Practice CurrentSince Mar 20, 2025 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.

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": []
}

Other providers in Carbondale, CO

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.

Verify at the official NPI Registry.