Active NPI
Andrew Correces, D.D.S.
- Dentist
- Port Hueneme, CA
National Provider Identifier
1962959593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 100522
- Practice address
- 130 23Rd Ave
NBVC Port Hueneme Branch Dental Clinic
Port Hueneme, CA 93043 - Phone
- (805) 982-6320
- NPI assigned
- Sep 1, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 100522 | CA | Primary |
Addresses
Primary practice location
130 23Rd Ave
NBVC Port Hueneme Branch Dental Clinic
Port Hueneme, CA 93043
Mailing address
2231 Bermuda Dunes PL
Oxnard, CA 93036-2782
Phone (301) 573-6604
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
| License | State | Type | Specialty |
|---|---|---|---|
| 100522 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768867200000",
"number": "1962959593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2231 BERMUDA DUNES PL",
"city": "OXNARD",
"state": "CA",
"postal_code": "930362782",
"telephone_number": "301-573-6604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 23RD AVE",
"address_2": "NBVC PORT HUENEME BRANCH DENTAL CLINIC",
"city": "PORT HUENEME",
"state": "CA",
"postal_code": "93043",
"telephone_number": "805-982-6320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORRECES",
"first_name": "ANDREW",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-01",
"last_updated": "2026-01-20",
"certification_date": "2026-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "100522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Hueneme, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.