Organization Active NPI

Kenneth L Andow, DDS, PC

  • General Practice Dentistry
  • Centennial, CO
National Provider Identifier
1992703144
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
105402 Issued in CO
Legal business name
KENNETH L ANDOW, DDS, PC
Practice address
9025 E Mineral Cir
Ste 101
Centennial, CO 80112-3468
Phone
(303) 799-1525
Fax
(303) 799-4870
NPI assigned
Jul 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kenneth L Andow, DDSNPI 1861612939
Title
President
Phone
(303) 799-1525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 105402 CO Primary

Addresses

Primary practice location

9025 E Mineral Cir
Ste 101
Centennial, CO 80112-3468

Mailing address

9025 E Mineral Cir
Ste 101
Centennial, CO 80112-3468
Phone (303) 799-1525

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992703144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9025 E MINERAL CIR",
            "address_2": "STE 101",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123468",
            "telephone_number": "303-799-1525",
            "fax_number": "303-799-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 E MINERAL CIR",
            "address_2": "STE 101",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123468",
            "telephone_number": "303-799-1525",
            "fax_number": "303-799-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH L ANDOW, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDOW",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-799-1525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "105402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.