Individual provider Active NPI

Nicholas D Andros, D.D.S.

  • Dentist
  • Pasco, WA
National Provider Identifier
1831469204
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60247879 Issued in WA
Practice address
5 Rose CT
Pasco, WA 99301-1895
Phone
(509) 430-8477
NPI assigned
Jan 3, 2012
Last updated
Jan 3, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE60247879 WA Primary

Addresses

Primary practice location

5 Rose CT
Pasco, WA 99301-1895

Mailing address

5 Rose CT
Pasco, WA 99301-1895
Phone (509) 430-8477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DE60247879WAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1831469204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ROSE CT",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993011895",
            "telephone_number": "509-430-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ROSE CT",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993011895",
            "telephone_number": "509-430-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDROS",
        "first_name": "NICHOLAS",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60247879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.