Andee Dana Josserand, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

103497 Issued in CA

Practice address

2660 2ND St Apt 2
Santa Monica, CA 90405-4159

Phone

(806) 420-1500

NPI assigned

Feb 7, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1538624176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 2ND ST APT 2",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904054159",
            "telephone_number": "806-420-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 2ND ST APT 2",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904054159",
            "telephone_number": "806-420-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSSERAND",
        "first_name": "ANDEE",
        "middle_name": "DANA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "103497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN AMICABLE",
            "identifier": "674547788",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph W Landau M D a Medical Corp
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• Paula Staci Josephson Shulman, MD, MPH
• Shrabya Joshee
• Paul Joshu
• Cossette Joy, MD
• Kelly Joyce
• Peter W Joyce, MD
• Ashley El Joyner
• Latasha Denise Joyner

• Dentist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.