OrganizationActive
Andrek J Ingersoll Dental Corporation
NPI 1528668746 · Pediatric Dentistry · Redding, CA
Andrek J Ingersoll Dental Corporation is a Pediatric Dentistry organization in Redding, CA (NPI 1528668746).
Provider details
- NPI number
- 1528668746
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Andy Ingersoll, Manager(530) 579-1722
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2775 Park Marina Dr Ste a
Redding, CA 96001-2840
Phone: (919) 656-3004
Street-level locationGet directions
Mailing address
3300 N Triumph Blvd Ste 100
Lehi, UT 84043-5046
Other names (DBA / former)
- Doing business as
- Shasta Kids Dentistry
- Doing business as
- Shasta Kids Dentistry
Registry dates
- Enumerated
- 2020-10-27
- Last updated
- 2021-04-29
- Certified
- 2021-04-29
Frequently asked questions
- What is Andrek J Ingersoll Dental Corporation's NPI number?
- Andrek J Ingersoll Dental Corporation's National Provider Identifier (NPI) is 1528668746, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Andrek J Ingersoll Dental Corporation?
- Andrek J Ingersoll Dental Corporation is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Andrek J Ingersoll Dental Corporation located?
- Andrek J Ingersoll Dental Corporation's practice location on file with NPPES is 2775 Park Marina Dr Ste a, Redding, CA 96001-2840.
- What is Andrek J Ingersoll Dental Corporation's phone number?
- The practice phone number listed in the NPPES registry for Andrek J Ingersoll Dental Corporation is (919) 656-3004.
- Who is the authorized official for Andrek J Ingersoll Dental Corporation?
- The authorized official listed on Andrek J Ingersoll Dental Corporation's NPPES record is Andy Ingersoll, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Andrek J Ingersoll Dental Corporation's NPI active?
- Yes — Andrek J Ingersoll Dental Corporation's NPI (1528668746) is active in the NPPES registry as of the last update on 2021-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.