Andrek Redortho Ingersoll Dental Corporation

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

ANDREK REDORTHO INGERSOLL DENTAL CORPORATION

Practice address

2315 Bechelli LN Ste E
Redding, CA 96002-0119

Phone

(530) 223-0460

NPI assigned

Mar 25, 2026

Organization subpart

No

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

Authorized official

Name

Leeann Blazer

Title

Director of Operations

Phone

(707) 673-7531

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Scott Schalo, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Redding, CA
  • NPI 1184788622
  NPD (past)

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1811836133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 N TRIUMPH BLVD STE 100",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840435046",
            "telephone_number": "707-673-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 BECHELLI LN STE E",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020119",
            "telephone_number": "530-223-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREK REDORTHO INGERSOLL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "BLAZER",
        "authorized_official_first_name": "LEEANN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "707-673-7531"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thernell Rothchild Anderson IV, PHARMD, RPH
• Allyza Andrade, RN
• Andre Van Mol MD
• Andrek J Ingersoll Dental Corporation
• Andrek Pmendo Ingersoll Dental Corporation
• Joanna Andres, OTR
• Christina Andresen
• Andrew L Knapp DO PC
• Anglus Andrews
• Jenna Andrews

• Orthodontics and Dentofacial Orthopedics Dentistry in Redding, CA
• Providers in Redding, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.