Andrew Korcek, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

7030 Issued in NV

Practice address

1701 County Rd Ste K
Minden, NV 89423-4465

Phone

(775) 782-9177

NPI assigned

Sep 14, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Andrew J Korcek DDS PLLC

  • Dental Clinic/Center
  • Minden, NV
  • NPI 1396598819
  NPD Authorized official
• United States Navy

  • Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center
  • Jacksonville, FL
  • NPI 1043632771
  NPD (past)

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712448000000",
    "number": "1457729931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 COUNTY RD STE K",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894234465",
            "telephone_number": "775-782-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 COUNTY RD STE K",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894234465",
            "telephone_number": "775-782-9177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2005 Knight Lane Bldg H",
            "address_2": "Navy Medicine Support Command Attn: Medical Staff Svcs",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322120140",
            "country_code": "US",
            "telephone_number": "760-725-3213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORCEK",
        "first_name": "ANDREW",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-14",
        "last_updated": "2024-04-07",
        "certification_date": "2024-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D-4706",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "7030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO BOARD OF DENTISTRY",
            "identifier": "D-4706",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelli Killeen, DPT
• Pete Klover
• Jonathan Kluever
• Susan L Knowles, MD
• Sarah Dawnell Kolbe, APRN
• Theresa Kostenbader
• Colleen Marie Kriss, D.O.
• Tricia Krueger
• Cayla Lairmore
• Kristen Susan Langford

• All providers in Minden, NV
• Dentist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.