Organization Active NPI

Andrew J Severson DDS Apc

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1689782054
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21946 Issued in CA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.