Andre Jeanbart, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

52614 Issued in CA

Practice address

860 Hampshire Rd
Suite M
Westlake Village, CA 91361-2803

Phone

(805) 497-7666

Fax

(805) 497-4483

NPI assigned

Jun 24, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281312000000",
    "number": "1780845438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 HAMPSHIRE RD",
            "address_2": "SUITE M",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612803",
            "telephone_number": "805-497-7666",
            "fax_number": "805-497-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 HAMPSHIRE RD",
            "address_2": "SUITE M",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612803",
            "telephone_number": "805-497-7666",
            "fax_number": "805-497-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEANBART",
        "first_name": "ANDRE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2010-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sadie Mae Wehn Janssens, MFT,PH.D.
• Jared Weiss DDS, Inc.
• Valerie Jauregui, BA, RBT
• Rupal Javia, D.D.S.
• Lyndsie Jayne, RDN
• Jeffrey B. Lieberman, O.D., Inc. (Advanced Optometrics)
• Jeg Therapy Licensed Clinical Social Workers, Inc (JEG Therapy, Inc)
• Carrie Jekogian
• Adam Jelloian
• Jennifer Brady Licensed Clinical Social Worker PC

• General Practice Dentistry in Westlake Village, CA
• Providers in Westlake Village, 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 9, 2010; 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.