Active NPI
Andrew J Severson DDS Apc
- General Practice Dentistry
- San Diego, CA
National Provider Identifier
1689782054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 21946
- Legal business name
- ANDREW J SEVERSON DDS APC
- Doing business as
- Andrew J Severson DDS APC
- Practice address
- 16810 Bernardo Center Dr
San Diego, CA 92128 - Phone
- (858) 485-1123
- Fax
- (858) 485-1085
- NPI assigned
- Aug 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrew Joseph Severson, DDS FAGD
- Title
- President
- Phone
- (858) 485-1123
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 21946 | CA | Primary |
Addresses
Primary practice location
16810 Bernardo Center Dr
San Diego, CA 92128
Mailing address
16810 Bernardo Center Dr
San Diego, CA 92128
Phone (858) 485-1123
Other names 1
- Andrew J Severson DDS APC
National Provider Directory
National Provider DirectoryLocations
16810 Bernardo Center Dr
San Diego, CA 92128
Phone (858) 485-1123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1689782054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16810 BERNARDO CENTER DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92128",
"telephone_number": "858-485-1123",
"fax_number": "858-485-1085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16810 BERNARDO CENTER DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92128",
"telephone_number": "858-485-1123",
"fax_number": "858-485-1085"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDREW J SEVERSON DDS APC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SEVERSON",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "858-485-1123",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS FAGD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "21946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Andrew J Severson DDS APC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Diego, CA
Sources for this page
- 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.