NPIMap

Organization Active NPI

Luis C Andrews DDS Inc

  • Dental Clinic/Center
  • Merced, CA
National Provider Identifier
1639544885
Registry record updated Aug 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
49269 Issued in CA
Legal business name
LUIS C ANDREWS DDS INC
Doing business as
ABC DENTAL
Practice address
505 W 20TH St
Merced, CA 95340-3715
Phone
(209) 725-2980
Fax
(209) 725-2984
NPI assigned
Dec 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2017

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

Authorized official

Name
Dr. Luis Carlos Andrews, DDSNPI 1346383866
Title
President/Dentist
Phone
(209) 725-2980

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 49269 CA
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 49269 CA
Dental Clinic/Center 261QD0000X 49269 CA Primary

Addresses

Primary practice location

505 W 20TH St
Merced, CA 95340-3715

Mailing address

505 W 20TH St
Merced, CA 95340-3715
Phone (209) 725-2980

Other names 1

  • ABC DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

505 W 20th St
Merced, CA 95340
Phone (209) 725-2980

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502150400000",
    "number": "1639544885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W 20TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953403715",
            "telephone_number": "209-725-2980",
            "fax_number": "209-725-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W 20TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953403715",
            "telephone_number": "209-725-2980",
            "fax_number": "209-725-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS C ANDREWS DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-13",
        "last_updated": "2017-08-08",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "209-725-2980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "49269",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49269",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "49269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABC DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.