Albert K. Andrew II,DDS,PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ALBERT K. ANDREW II,DDS,PC

Practice address

2759 US Highway 34
Oswego, IL 60543-8949

Phone

(630) 554-2873

Fax

(630) 554-4574

NPI assigned

Apr 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Albert Kimball Andrew II, DDSNPI 1912996604

Title

Ceo/Owner

Phone

(630) 554-2873

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Albert K Andrew II, DDS

  • General Practice Dentistry
  • Oswego, IL
  • NPI 1912996604
  NPD (past) Authorized official

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1457524845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2759 US HIGHWAY 34",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438949",
            "telephone_number": "630-554-2873",
            "fax_number": "630-554-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2759 US HIGHWAY 34",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438949",
            "telephone_number": "630-554-2873",
            "fax_number": "630-554-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT K. ANDREW II,DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ANDREW",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "KIMBALL",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "630-554-2873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001072",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Oswego, IL
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.