Andante Endodontic Specialists, Prof. LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DEN000000005149 Issued in CO

Legal business name

ANDANTE ENDODONTIC SPECIALISTS, PROF. LLC

Doing business as

Andante Endodontics

Practice address

8340 Sangre de Cristo Rd
Suite 104
Littleton, CO 80127-4248

Phone

(303) 948-4884

Fax

(720) 922-7734

NPI assigned

Apr 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Randa Karen Degerness, DDS, MBA

Title

Administrator

Phone

(303) 726-6565

Specialties & licenses 2

Addresses

Other names 1

• Andante Endodontics 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.

• Randolph Alvin Degerness, DDS, MS

  • Endodontics
  • Littleton, CO
  • NPI 1649392382
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558484691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 SANGRE DE CRISTO RD",
            "address_2": "SUITE 104",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801274243",
            "telephone_number": "303-948-4884",
            "fax_number": "720-922-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 SANGRE DE CRISTO RD",
            "address_2": "SUITE 104",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801274248",
            "telephone_number": "303-948-4884",
            "fax_number": "720-922-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDANTE ENDODONTIC SPECIALISTS, PROF. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEGERNESS",
        "authorized_official_first_name": "RANDA",
        "authorized_official_middle_name": "KAREN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "303-726-6565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MBA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "DEN000000005149",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "D9660",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andante Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Andrianna Anastassia
• Ashley Taylor Anaya, MSW, LSW
• Jeff Anderson, SA
• Jennifer M Anderson, BA
• Jill Bea Anderson, NNP
• Krista Anderson, LCSW
• Rachel Felisha Anderson

• Dental Clinic/Center in Littleton, CO
• Providers in Littleton, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.