Andrew Jon Cefalo, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10265 Issued in AZ

Practice address

25155 N 67TH Ave Ste 142
Phoenix, AZ 85083

Phone

(503) 338-6000

NPI assigned

Jul 28, 2016

Last updated

Apr 2, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Arrow Dental LLC

  • Dentist
  • Astoria, OR
  • NPI 1194299271
  NPD (past)

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1992258743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25155 N 67TH AVE STE 142",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850831065",
            "telephone_number": "503-338-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25155 N 67TH AVE STE 142",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85083",
            "telephone_number": "503-338-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25155 N 67th Ave Ste 142",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85083",
            "country_code": "US",
            "telephone_number": "623-561-6767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "433 30th St",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "OR",
            "postal_code": "97103",
            "country_code": "US",
            "telephone_number": "503-338-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CEFALO",
        "first_name": "ANDREW",
        "middle_name": "JON",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-28",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D10510",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D10265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cedar Medical Supplies LLC
• Michelle Cederburg, MD
• Michelle L Cederlind, NNP
• Iliana Cedillo-Narvaez
• Keren Eliany Cedillos, M.D.
• Ceiling Lifts & Medical Supply, Inc
• Ceiling Lifts & Medical Supply, Inc
• Alexandra Ceja
• Alma E Celaya, FNP
• Celeste Celaya

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.