NPIMap

Organization Active NPI

Dr Andrek GV Ingersoll Dental Corporation

Doing business as Empire Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Grass Valley, CA
National Provider Identifier
1487488060
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
DR ANDREK GV INGERSOLL DENTAL CORPORATION
Doing business as
Empire Orthodontics
Practice address
115 W Empire St
Grass Valley, CA 95945-7510
Phone
(530) 478-8366
NPI assigned
Aug 27, 2024
Last updated
Aug 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Andrek Ingersoll, DMDNPI 1689985509
Title
Owner
Phone
(919) 656-3004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

115 W Empire St
Grass Valley, CA 95945-7510

Mailing address

115 W Empire St
Grass Valley, CA 95945-7510
Phone (530) 478-8366

Other names 1

  • Empire Orthodontics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1487488060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W EMPIRE ST",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457510",
            "telephone_number": "530-478-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W EMPIRE ST",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457510",
            "telephone_number": "530-478-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ANDREK GV INGERSOLL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "INGERSOLL",
        "authorized_official_first_name": "ANDREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-656-3004",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empire Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.