OrganizationActive
Dr Andrek Granped Ingersoll Dental Corporation
NPI 1740131010 · Pediatric Dentistry · Granite Bay, CA
Dr Andrek Granped Ingersoll Dental Corporation is a Pediatric Dentistry organization in Granite Bay, CA (NPI 1740131010).
Provider details
- NPI number
- 1740131010
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Stacy Kingrey, Regional Manager(530) 356-4685
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
4150 Douglas Blvd Ste B
Granite Bay, CA 95746-5908
Phone: (916) 797-0931
Street-level locationGet directions
Mailing address
4150 Douglas Blvd Ste B
Granite Bay, CA 95746-5908
Other names (DBA / former)
- Doing business as
- Bear Hollow Kids Dentistry - Granite Bay
Registry dates
- Enumerated
- 2026-02-04
- Last updated
- 2026-02-04
- Certified
- 2026-02-04
Frequently asked questions
- What is Dr Andrek Granped Ingersoll Dental Corporation's NPI number?
- Dr Andrek Granped Ingersoll Dental Corporation's National Provider Identifier (NPI) is 1740131010, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dr Andrek Granped Ingersoll Dental Corporation?
- Dr Andrek Granped Ingersoll Dental Corporation is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Dr Andrek Granped Ingersoll Dental Corporation located?
- Dr Andrek Granped Ingersoll Dental Corporation's practice location on file with NPPES is 4150 Douglas Blvd Ste B, Granite Bay, CA 95746-5908.
- What is Dr Andrek Granped Ingersoll Dental Corporation's phone number?
- The practice phone number listed in the NPPES registry for Dr Andrek Granped Ingersoll Dental Corporation is (916) 797-0931.
- Who is the authorized official for Dr Andrek Granped Ingersoll Dental Corporation?
- The authorized official listed on Dr Andrek Granped Ingersoll Dental Corporation's NPPES record is Stacy Kingrey, Regional Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dr Andrek Granped Ingersoll Dental Corporation's NPI active?
- Yes — Dr Andrek Granped Ingersoll Dental Corporation's NPI (1740131010) is active in the NPPES registry as of the last update on 2026-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.