Dr. Edward S. Andochick, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3730 Issued in MD

Legal business name

DR. EDWARD S. ANDOCHICK, PA

Practice address

516 Trail Ave
Suite B
Frederick, MD 21701-4942

Phone

(301) 663-3919

Fax

(301) 663-1459

NPI assigned

Dec 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edward S Andochick, DDS

Title

President

Phone

(301) 663-3919

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1197072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197072000000",
    "number": "1447433818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 TRAIL AVE",
            "address_2": "SUITE B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014942",
            "telephone_number": "301-663-3919",
            "fax_number": "301-663-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 TRAIL AVE",
            "address_2": "SUITE B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014942",
            "telephone_number": "301-663-3919",
            "fax_number": "301-663-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. EDWARD S. ANDOCHICK, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-08",
        "last_updated": "2007-12-08",
        "status": "A",
        "authorized_official_last_name": "ANDOCHICK",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-663-3919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "3730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.