Individual provider Active NPI

Andre Robert Lamothe, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Salinas, CA
National Provider Identifier
1689100018
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
106269 Issued in CA
Practice address
770 E Romie LN Ste G
Salinas, CA 93901-4222
Phone
(831) 757-5291
NPI assigned
May 4, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10926 TN
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 106269 CA Primary

Addresses

Primary practice location

770 E Romie LN Ste G
Salinas, CA 93901-4222

Mailing address

337 El Dorado St Ste 3a
Monterey, CA 93940-4649
Phone (831) 373-2967

Other practice location 1

337 El Dorado St Ste 3A
Monterey, CA 93940-4649
Phone (831) 373-2967

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 29, 2026 through Apr 29, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
106269CAMDMarriage & Family Therapist
10926TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Michael K Lewis, DDS, Inc & Ryan R Lloyd, DMD, Inc-a Partnership Oral and Maxillofacial Surgery PastSince Oct 31, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1689100018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 EL DORADO ST STE 3A",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404649",
            "telephone_number": "831-373-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 E ROMIE LN STE G",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014222",
            "telephone_number": "831-757-5291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "337 El Dorado St Ste 3A",
            "address_purpose": "LOCATION",
            "city": "Monterey",
            "state": "CA",
            "postal_code": "939404649",
            "country_code": "US",
            "telephone_number": "831-373-2967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMOTHE",
        "first_name": "ANDRE",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-04",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "10926",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "106269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.