Robert Paul Andelin, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00009373 Issued in WA

Practice address

1921 W Sylvester St
Pasco, WA 99301-4850

Phone

(509) 547-1791

Fax

(509) 547-4383

NPI assigned

Sep 25, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Robert P. Andelin, DDS, PS

  • General Practice Dentistry
  • Pasco, WA
  • NPI 1659518843
  NPD (past) Authorized official
• Robert K Andelin DDS PS

  • Dentist
  • Pasco, WA
  • NPI 1316170608
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1407957319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 W SYLVESTER ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993014850",
            "telephone_number": "509-547-1791",
            "fax_number": "509-547-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 W SYLVESTER ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993014850",
            "telephone_number": "509-547-1791",
            "fax_number": "509-547-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDELIN",
        "first_name": "ROBERT",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5041835",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesus L Alvarez, RPH
• Joshua F Alvarez
• Nataly Alvarez
• American Hospitalists Inc
• Robert Kay Andelin, DDS
• Chad Eric Anderson
• Dallin Curtis Anderson
• Jo Ann Andrade, RN
• Andros Orthodontics PS
• Nicholas D Andros, D.D.S.

• General Practice Dentistry in Pasco, WA
• Providers in Pasco, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.