Andrew Russel Steidley, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DE60792883 Issued in WA

Practice address

775 Holland Ave
Suite #202
Spokane, WA 99218

Phone

(509) 468-7744

NPI assigned

Aug 13, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

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 and National Provider Directory roles.

• Andrew Steidley DMD Ms PLLC

  • Endodontics
  • Longview, WA
  • NPI 1023805033
  NPD Authorized official
• Dr. Timothy L Sweatman DDS PS

  • Endodontics
  • Spokane, WA
  • NPI 1316494537
  NPD (past)

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1487087516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 HOLLAND AVE",
            "address_2": "SUITE #202",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99218",
            "telephone_number": "315-921-5258",
            "fax_number": "206-682-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 HOLLAND AVE",
            "address_2": "SUITE #202",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99218",
            "telephone_number": "509-468-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIDLEY",
        "first_name": "ANDREW",
        "middle_name": "RUSSEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-13",
        "last_updated": "2024-03-13",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D10325",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OR",
            "license": "D10325",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "8749417-9921",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE60792883",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "UT",
            "license": "8749417-9921",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Rose Steffan, RN, ARNP
• Sydney Steffan, M.S.
• Justice R Stegall
• Juliana Zajicek Stegenga, LICSW-A
• Molly Elizabeth Stegman, BA
• Bret Stein
• Miranda Camille Stein, MD
• Thomas A Stein, D.M.D.
• Alexandra Steinmetz, MS
• Mark Steinmetz, MS4

• Endodontics in Spokane, WA
• Providers in Spokane, WA by specialty
• Endodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.