Individual provider Active NPI

Andrew J. Dorr, D.D.S.

  • General Practice Dentistry
  • Cincinnati, OH
National Provider Identifier
1689738411
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20230 Issued in OH
Practice address
3473 North Bend Rd.
Cincinnati, OH 45239-7624
Phone
(513) 661-6800
Fax
(513) 661-6810
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20230 OH Primary

Addresses

Primary practice location

3473 North Bend Rd.
Cincinnati, OH 45239-7624

Mailing address

3473 North Bend Rd.
Cincinnati, OH 45239-7624
Phone (513) 661-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150617001399 OH Order and Referring Only - DentistPractitioner - Dentist 7618288606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20230OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689738411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3473 NORTH BEND RD.",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452397624",
            "telephone_number": "513-661-6800",
            "fax_number": "513-661-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3473 NORTH BEND RD.",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452397624",
            "telephone_number": "513-661-6800",
            "fax_number": "513-661-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORR",
        "first_name": "ANDREW",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "20230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.