Andrew D. Pedersen, DDS, Ms, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

ANDREW D. PEDERSEN, DDS, MS, PLLC

Doing business as

Dietterick & Pedersen Orthodontics
Dietterick Orthodontics

Practice address

1589 Carlisle Rd
York, PA 17408-4528

Phone

(717) 764-3854

NPI assigned

Feb 11, 2019

Organization subpart

No

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

Authorized official

Name

Virginia Arslain

Title

Business Coordinator

Phone

(717) 764-3854

Specialties & licenses 1

Addresses

Other names 2

• Dietterick & Pedersen Orthodontics Doing business as
• Dietterick Orthodontics Doing business as

Locations

Practitioners 2

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

• Andrew Pedersen, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • York, PA
  • NPI 1346643350
  NPD
• Bruce Dietterick, DDS., M.S., P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • York, PA
  • NPI 1245362409
  NPD (past)

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549843200000",
    "number": "1821554221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1589 CARLISLE RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174084528",
            "telephone_number": "717-764-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1589 CARLISLE RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174084528",
            "telephone_number": "717-764-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW D. PEDERSEN, DDS, MS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-02-11",
        "status": "A",
        "authorized_official_last_name": "ARSLAIN",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "BUSINESS COORDINATOR",
        "authorized_official_telephone_number": "717-764-3854"
    },
    "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": [
        {
            "organization_name": "Dietterick & Pedersen Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dietterick Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Frances Jeanne Anderson
• Heather Elizabeth Anderson, MS, RDN
• Jada Jean Anderson, MD
• Jennifer Jo Anderson, LPC
• Wendy Webber Anderson, MS LPC NCC
• Stacy Andrew, DDS
• Genevieve Ann Andrews, M.D.
• Holly A Andrews, PA-C
• Mary Kate Andrews, OTR
• Wade J Andrews, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in York, PA
• Providers in York, PA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.