Andrek Pmendo Ingersoll Dental Corporation

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

ANDREK PMENDO INGERSOLL DENTAL CORPORATION

Practice address

2301 Park Marina Dr Ste 23
Redding, CA 96001-2158

Phone

(530) 697-0110

NPI assigned

Apr 29, 2025

Last updated

Apr 29, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Leeann Blazer

Title

Director of Operations

Phone

(707) 673-7531

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1942098934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 N TRIUMPH BLVD STE 100",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840435046",
            "telephone_number": "707-673-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 PARK MARINA DR STE 23",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012158",
            "telephone_number": "530-697-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREK PMENDO INGERSOLL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "BLAZER",
        "authorized_official_first_name": "LEEANN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "707-673-7531",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Lee Anderson, PA
• Thernell Rothchild Anderson IV, PHARMD, RPH
• Allyza Andrade, RN
• Andre Van Mol MD
• Andrek J Ingersoll Dental Corporation (Shasta Kids Dentistry)
• Andrek Redortho Ingersoll Dental Corporation
• Joanna Andres, OTR
• Christina Andresen
• Andrew L Knapp DO PC
• Anglus Andrews

• Endodontics in Redding, CA
• Providers in Redding, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.