Organization Active NPI

Robert P. Andelin, DDS, PS

  • General Practice Dentistry
  • Pasco, WA
National Provider Identifier
1659518843
Registry record updated Jan 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE 00009373 Issued in WA
Legal business name
ROBERT P. ANDELIN, DDS, PS
Practice address
1921 W Sylvester St
Pasco, WA 99301-4850
Phone
(509) 547-1791
NPI assigned
Jan 10, 2009
Last updated
Jan 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2009

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

Authorized official

Name
Dr. Robert Paul Andelin, D.D.S.NPI 1407957319
Title
President
Phone
(509) 547-1791

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 DE 00009373 WA Primary

Addresses

Primary practice location

1921 W Sylvester St
Pasco, WA 99301-4850

Mailing address

1921 W Sylvester St
Pasco, WA 99301-4850
Phone (509) 547-1791

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1231545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231545600000",
    "number": "1659518843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 W SYLVESTER ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993014850",
            "telephone_number": "509-547-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 W SYLVESTER ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993014850",
            "telephone_number": "509-547-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT P. ANDELIN, DDS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-10",
        "last_updated": "2009-01-10",
        "status": "A",
        "authorized_official_last_name": "ANDELIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-547-1791",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE 00009373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2009; 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.