NPI 1811836133 · live from the CMS NPI Registry
Andrek Redortho Ingersoll Dental Corporation
Dentist, Orthodontics and Dentofacial Orthopedics in Redding, CA. National Provider Identifier 1811836133, active.
NPI record
| NPI | 1811836133 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 2315 Bechelli Ln Ste E, Redding, CA 96002 |
| Practice phone | 530-223-0460 |
| Mailing address | 3300 N Triumph Blvd Ste 100, Lehi, UT 84043 |
| Enumerated | March 25, 2026 |
| Last updated | March 25, 2026 |
| Authorized official | Leeann Blazer, Director Of Operations |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.