Andres Mauricio Hurtado, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

202743 Issued in CO

Practice address

1802 W 4TH St
Wilmington, DE 19805-3420

Phone

(302) 652-2455

Fax

(302) 322-6251

NPI assigned

Feb 11, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

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

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.

• Andina Dental Studio Inc

  • Dental Clinic/Center
  • Wilmington, DE
  • NPI 1780272682
  NPD Authorized official

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1558720128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8505 E ALAMEDA AVE",
            "address_2": "UNIT # 3112",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802305033",
            "telephone_number": "302-588-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 W 4TH ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198053420",
            "telephone_number": "302-652-2455",
            "fax_number": "302-322-6251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8505 E Alameda Ave",
            "address_2": "Unit # 3112",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802305033",
            "country_code": "US",
            "telephone_number": "302-588-3280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27 Marrows Rd",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197133701",
            "country_code": "US",
            "telephone_number": "302-652-2455",
            "fax_number": "302-322-6251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "908 E 16th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198025145",
            "country_code": "US",
            "telephone_number": "302-652-2455",
            "fax_number": "302-322-6251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1020 Forrest Ave",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199042799",
            "country_code": "US",
            "telephone_number": "302-652-2455",
            "fax_number": "302-322-6251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURTADO",
        "first_name": "ANDRES",
        "middle_name": "MAURICIO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-11",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "202743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Christine Hurd-Shulli, COTA/L
• Nikki Hurd
• Emily Hurley
• Debra Lynn Hurst, RN
• Guilford Robert Hurst, A.P.N.
• Erica Hurtt, LPCMH
• Sumair Moinuddin Husain, M.D.
• Jennifer Marie Hushen, PT
• Eric Husni
• Zehra Hussain, MD

• Dentist in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Dentist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.