Individual provider Active NPI

Ricardo Andrade, DDS

  • General Practice Dentistry
  • Folsom, CA
National Provider Identifier
1932206802
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
53964 Issued in CA
Practice address
2465 Iron Point Rd
Ste. 120
Folsom, CA 95630-8710
Phone
(916) 984-9600
Fax
(916) 984-9076
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

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

Practice roles

OrganizationSpecialtyStatusNew patients
O'Donnell Dental Corporation General Practice Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 53964 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

2465 Iron Point Rd
Ste. 120
Folsom, CA 95630-8710

Mailing address

3336 Bradshaw Rd
Suite 220
Sacramento, CA 95827-2615
Phone (916) 368-2500

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 10, 2016.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1932206802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3336 BRADSHAW RD",
            "address_2": "SUITE 220",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272615",
            "telephone_number": "916-368-2500",
            "fax_number": "916-368-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 IRON POINT RD",
            "address_2": "STE. 120",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956308710",
            "telephone_number": "916-984-9600",
            "fax_number": "916-984-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRADE",
        "first_name": "RICARDO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.