Michael J. Andreski, DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5790 Issued in NC

Legal business name

MICHAEL J. ANDRESKI, DDS, PA

Practice address

1511 River St
Wilkesboro, NC 28697-7391

Phone

(336) 667-1029

Fax

(336) 667-4155

NPI assigned

Aug 23, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Carol Andreski

Title

Secretary/Treasurer

Phone

(336) 667-1029

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael John Andreski I, DDS

  • General Practice Dentistry
  • Wilkesboro, NC
  • NPI 1225151590
  NPD (past)

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1710170634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 RIVER ST",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286977391",
            "telephone_number": "336-667-1029",
            "fax_number": "336-667-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 RIVER ST",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286977391",
            "telephone_number": "336-667-1029",
            "fax_number": "336-667-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. ANDRESKI, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "ANDRESKI",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "336-667-1029",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID UPIN",
            "identifier": "U39031",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890106B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott A Matthews, DPM, MD
• Mark A Mautner, DMD
• Margaret L Maycock, LPC
• Tracy Lynn McGlamery, LPTA
• Lewis Edward McNeil, NCCPSS
• Michael Vollmer OD PLLC
• Kristain Maria Miller, PA-C
• MLP Church MD Family Practice, Inc.
• Mountain House Assisted Living of Wilkesboro, LLC
• Lena Myers

• General Practice Dentistry in Wilkesboro, NC
• Providers in Wilkesboro, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.