Individual provider Active NPI

Andres Raul Kaindl, DDS, DMD

  • Periodontics
  • Salem, OR
National Provider Identifier
1609300268
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
D7271 Issued in OR
Practice address
2605 12TH PL SE
Salem, OR 97302-2576
Phone
(503) 585-4281
Fax
(503) 585-7427
NPI assigned
Apr 20, 2017
Last updated
Apr 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X D7271 OR Primary

Addresses

Primary practice location

2605 12TH PL SE
Salem, OR 97302-2576

Mailing address

2605 12TH PL SE
Salem, OR 97302-2576
Phone (503) 585-4281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D7271ORMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
John H. Seifert DMD PC Past Accepting new patients
Andres R Kaindl DDS Periodontics Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1609300268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 12TH PL SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022576",
            "telephone_number": "503-585-4281",
            "fax_number": "503-585-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 12TH PL SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022576",
            "telephone_number": "503-585-4281",
            "fax_number": "503-585-7427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAINDL",
        "first_name": "ANDRES",
        "middle_name": "RAUL",
        "name_prefix": "Dr.",
        "credential": "DDS, DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OR",
            "license": "D7271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.