Individual provider Active NPI

Andrew Harsany

  • Oral and Maxillofacial Surgery (Dentist)
  • San Jose, CA
National Provider Identifier
1871975888
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
19432 Issued in CA
Practice address
2945 The Villages Pkwy
San Jose, CA 95135-1451
Phone
(408) 270-9450
Fax
(408) 270-9454
NPI assigned
Jun 25, 2015
Last updated
Jun 25, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 19432 CA Primary

Addresses

Primary practice location

2945 The Villages Pkwy
San Jose, CA 95135-1451

Mailing address

2945 The Villages Pkwy
San Jose, CA 95135-1451
Phone (408) 270-9450

Other identifiers 1

IdentifierTypeStateIssuer
1427182179OtherCACORPORATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 12, 2017 through Jan 12, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19432CAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew D Harsany DDS Inc Oral and Maxillofacial Surgery Past Accepting new patients
Beech & Reid Dental Partnership Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1871975888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 THE VILLAGES PKWY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951351451",
            "telephone_number": "408-270-9450",
            "fax_number": "408-270-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 THE VILLAGES PKWY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951351451",
            "telephone_number": "408-270-9450",
            "fax_number": "408-270-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARSANY",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-25",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "19432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATION",
            "identifier": "1427182179",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.