Andrew R Wise DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45790 Issued in CA

Legal business name

ANDREW R WISE DDS PC

Doing business as

Andrew R Wise DDS Inc

Practice address

1241 Alamo Dr
Ste 11
Vacaville, CA 95687

Phone

(707) 447-8289

Fax

(707) 447-3769

NPI assigned

Apr 7, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrew R Wise, DDS

Title

Owner President

Phone

(707) 447-8289

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Andrew R Wise DDS Inc Doing business as

Locations

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689637068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 ALAMO DR",
            "address_2": "STE 11",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "95687",
            "telephone_number": "707-447-8289",
            "fax_number": "707-447-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 ALAMO DR",
            "address_2": "STE 11",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "95687",
            "telephone_number": "707-447-8289",
            "fax_number": "707-447-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW R WISE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "707-447-8289",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "741169",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andrew R Wise DDS Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ann Anderson, OTR
• Brianna Anderson
• Kevin Anderson, PSYD
• Ryan Matthew Anderson, PHARMD.
• Andrew Castillo DMD Inc.
• Christine Ann Andrew, CNC
• Carol Susan Andrews, LMFT
• Josefina Dimacali Angeles
• Venyei Angh
• Alexis Desiree Angier

• General Practice Dentistry in Vacaville, CA
• Providers in Vacaville, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.