Andre Cardoso, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21377 Issued in MT

Practice address

837 N Center Ave
Hardin, MT 59034-1315

Phone

(406) 665-3300

NPI assigned

Jun 24, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Black Canyon Dental, P.C.

  • Dentist
  • Montrose, CO
  • NPI 1306576749
  NPD Authorized official
• Orchard Mesa Dental P.C.

  • Dental Clinic/Center
  • Grand Junction, CO
  • NPI 1881456333
  NPD Authorized official
• Ease Dental Solutions

  • Dental Clinic/Center
  • Temple, TX
  • NPI 1184392524
  NPD (past)
• Verbena Family Dentistry PLLC

  • Dental Clinic/Center
  • Temple, TX
  • NPI 1811161227
  NPD (past)

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1992321087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 AVENUE F",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591027546",
            "telephone_number": "801-471-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 N CENTER AVE",
            "city": "HARDIN",
            "state": "MT",
            "postal_code": "590341315",
            "telephone_number": "406-665-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDOSO",
        "first_name": "ANDRE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-24",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "21377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Mae Rose Blenkner, PHARMD
• Dennis Charles Bower, REGISTERED NURSE
• Marjorie Ann Bower, RN
• Robert Gordon Byron, MD
• Kimberley P Caprata, PA-C
• Stephanie Chosa, PHARMD
• Patrick Donald Contway, RN BSN
• County of Big Horn
• County of Big Horn
• Toby James Davis, DPT

• General Practice Dentistry in Hardin, MT
• Providers in Hardin, MT by specialty
• General Practice Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.