Andy L. Tieu DDS, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ANDY L. TIEU DDS, INC.

Doing business as

Scripps Poway Dental Care

Practice address

6790 Top Gun St
Suite 5
San Diego, CA 92121

Phone

(858) 831-0707

Fax

(858) 831-0770

NPI assigned

Jul 1, 2020

Last updated

Sep 19, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

ANDY L. TIEU DDS, INC.As reported in NPPES

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

Authorized official

Name

Andy L Tieu, DDSNPI 1043326515

Title

Dentist

Phone

(858) 831-0707

Specialties & licenses 1

Addresses

Other names 1

• Scripps Poway Dental Care Doing business as

Part of

Andy L Tieu DDS Inc

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andy Liang Tieu, DDS

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1043326515
  NPD Authorized official

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1437776812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6790 TOP GUN ST",
            "address_2": "SUITE 5",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92121",
            "telephone_number": "858-831-0707",
            "fax_number": "858-831-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6790 TOP GUN ST",
            "address_2": "SUITE 5",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92121",
            "telephone_number": "858-831-0707",
            "fax_number": "858-831-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDY L. TIEU DDS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANDY L. TIEU DDS, INC.",
        "enumeration_date": "2020-07-01",
        "last_updated": "2024-09-19",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "TIEU",
        "authorized_official_first_name": "ANDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "858-831-0707",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scripps Poway Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Scripps Poway Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Andrianu, MD
• Annie Andriasyan
• Avana Elizabeth Andriopulos
• Christopher Patrick Androski Jr., MD
• Jessica Andrusaitis
• Margaret D.M. Anello, LMFT
• Anem Medical Corporation
• Gautam Anem, MD
• Anesthesia Service Medical Group
• Anesthesia Services, Inc

• Dental Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.