Andre Luiz Bandeira, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22544 Issued in FL

Practice address

2707 Tampa Rd
Palm Harbor, FL 34684-3312

Phone

(727) 785-6521

NPI assigned

May 26, 2017

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Bandeira Dental LLC

  • General Practice Dentistry
  • Clearwater, FL
  • NPI 1457966756
  NPD Authorized official

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495756800000",
    "number": "1841728409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 LAFAYETTE AVE",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079281619",
            "telephone_number": "312-952-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 TAMPA RD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843312",
            "telephone_number": "727-785-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDEIRA",
        "first_name": "ANDRE",
        "middle_name": "LUIZ",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-26",
        "last_updated": "2017-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "22544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Balmoral Tenant Services, Inc.
• Christina Bambaren, DDS
• Banacki Chiropractic Services Inc
• John Ramon Banacki, D.C.
• Hallie M Banc, DDS
• Agnieszka Barber
• Gary Barbosa, DPM
• Barbara Jane Barcellona, ARNP
• Bradley Earl Barkman, M.P.T.
• Marlene A. Barrie, M.S.,CC.C.C.,SLP

• General Practice Dentistry in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2017; 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.

Verify at the official NPI Registry.