Individual provider

Cameron Andrew, DDS

Endodontics Dentist Medicare enrolled

Cameron Andrew, DDS is a provider specialising in Endodontics in Prescott, AZ, registered under NPI 1104106996. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 1658 OAKLAWN DR STE B, Prescott, AZ 86305. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1658 OAKLAWN DR STE B, Prescott, AZ 86305 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
D011401 AZ Endodontics primary
D-4388 ID Dentist

Licences are recorded in 2 states: AZ, ID. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Order And Referring Only - Oral Surgery
PAC ID
3072803907
Enrollment ID
I20160606002328

Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Oral Surgery. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Arizona and Idaho. The practice address on file is in Prescott, AZ, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

AZ Arizona practice address
Licence
D011401
Specialty
Endodontics
Verify with the AZ board →
ID Idaho
Licence
D-4388
Specialty
Dentist
Verify with the ID board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Endodontics covers

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. NUCC Health Care Provider Taxonomy, code 1223E0200X
Dental Providers Dentist Endodontics

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
1223E0200X Endodontics Endodontics D011401 AZ primary
122300000X Dentist D-4388 ID

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104106996 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 24, 2011
Last updatedJun 13, 2022
StatusActive
Sole proprietorNo
CredentialDDS
Practice address 1658 OAKLAWN DR STE B
Prescott, AZ 86305
(928) 771-1640
Mailing address 7696 E KNOTS PASS
Prescott Valley, AZ 86314
The last update on file is Jun 13, 2022. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1104106996 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 1 0 6 9 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 2 0 3 9 9

Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104106996?
NPI 1104106996 is the National Provider Identifier assigned to Cameron Andrew, DDS in Prescott, AZ. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Endodontics cover?
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries…
How do I contact Cameron Andrew, DDS?
The phone number on file with NPPES is (928) 771-1640, last updated Jun 13, 2022. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Cameron Andrew, DDS accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104106996 a valid number?
Yes. 1104106996 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.