Active NPI
John Paul Andrews, D.D.S.
- Prosthodontics
- Wilkes Barre, PA
National Provider Identifier
1790869725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DS027490L
- Practice address
- 87 E Main St
Wilkes Barre, PA 18705-2811 - Phone
- (570) 823-6080
- Fax
- (570) 826-6989
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | DS027490L | PA | Primary |
Addresses
Primary practice location
87 E Main St
Wilkes Barre, PA 18705-2811
Mailing address
87 E Main St
Wilkes Barre, PA 18705-2811
Phone (570) 823-6080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081210000133 | PA | Practitioner - Oral Surgery | 4880755701 | Practice locations: Wilkes Barre, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Digestive Care Associates PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Edwardsville, PA
- NPI 1083094460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790869725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 E MAIN ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187052811",
"telephone_number": "570-823-6080",
"fax_number": "570-826-6989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 E MAIN ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187052811",
"telephone_number": "570-823-6080",
"fax_number": "570-826-6989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "JOHN",
"middle_name": "PAUL",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "PA",
"license": "DS027490L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.