Andrea Pinnick Gamble DDS, Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

57985 Issued in CA

Legal business name

ANDREA PINNICK GAMBLE DDS, INC

Doing business as

Local Smile Co.

Practice address

1706 S Elena Ave
Ste. C
Redondo Beach, CA 90277-5715

Phone

(310) 373-0007

Fax

(310) 373-0014

NPI assigned

Sep 1, 2016

Last updated

Sep 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrea Pinnick Gamble, D.D.S.NPI 1447452735

Title

President

Phone

(310) 373-0007

Specialties & licenses 1

Addresses

Other names 1

• Local Smile Co. Doing business as

Locations

Practitioners 1

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.

• Andrea Pinnick Gamble, D.D.S.

  • Pediatric Dentistry
  • Redondo Beach, CA
  • NPI 1447452735
  NPD (past) Authorized official

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1528515129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 S ELENA AVE",
            "address_2": "STE. C",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775715",
            "telephone_number": "310-373-0007",
            "fax_number": "310-373-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 S ELENA AVE",
            "address_2": "STE. C",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775715",
            "telephone_number": "310-373-0007",
            "fax_number": "310-373-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA PINNICK GAMBLE DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "GAMBLE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "PINNICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-373-0007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "57985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Local Smile Co.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kirstin M Amidon, MA-CCC
• Neal M Ammar, M.D.
• Aliaksei Ananich, LMT
• Patricia Alta Stahlman Andershock, LMFT
• Victoria Mercedes Andrade
• Rachel Shirley Andrews, LPCC, PPSC
• Angel City Senior LLC
• Javier Jay Angulo
• Natalie Consuelo Angulo
• Ankur Mohindra DDS, Inc. (Smileworks of Redondo Beach)

• Pediatric Dentistry in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.