Organization Active NPI

Andrews Dental Care, PLLC

  • General Practice Dentistry
  • Mansfield, TX
National Provider Identifier
1598941775
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18167 Issued in TX
Legal business name
ANDREWS DENTAL CARE, PLLC
Practice address
2270 Matlock Rd
Suite 102
Mansfield, TX 76063-3709
Phone
(817) 477-0994
Fax
(817) 453-5450
NPI assigned
Jan 17, 2008
Last updated
Jan 17, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
ANDREWS DENTAL CARE, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Mr. Jessie Leo-Nard Andrews, D.D.S.NPI 1518079896
Title
Owner
Phone
(817) 477-0994

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18167 TX Primary

Addresses

Primary practice location

2270 Matlock Rd
Suite 102
Mansfield, TX 76063-3709

Mailing address

2270 Matlock Rd
Suite 102
Mansfield, TX 76063-3709
Phone (817) 477-0994

National Provider Directory

National Provider Directory
Part of
Andrews Dental Care PLLC

Locations

2270 Matlock Rd
Ste 102
Mansfield, TX 76063
Phone (817) 477-0994

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1598941775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 MATLOCK RD",
            "address_2": "SUITE 102",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633709",
            "telephone_number": "817-477-0994",
            "fax_number": "817-453-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 MATLOCK RD",
            "address_2": "SUITE 102",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633709",
            "telephone_number": "817-477-0994",
            "fax_number": "817-453-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREWS DENTAL CARE, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANDREWS DENTAL CARE, PLLC",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_middle_name": "LEO-NARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-477-0994",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.