ANDREW ADIPUTRA
NPI 1205489671
Dentist in Champaign, IL

Q: What is Andrew Adiputra's NPI number?

The NPI number for Andrew Adiputra is 1205489671. It was assigned to this individual provider in the NPPES registry on July 24, 2019.

Q: What is Andrew Adiputra's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Adiputra was last updated on July 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 24, 2019

314 W KIRBY AVE, CHAMPAIGN, IL 61820(217) 398-9898 Get Directions Write a Review

NPPES record last updated: July 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Andrew Adiputra NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW ADIPUTRA (NPI 1205489671) is an individual dentist in Champaign, Illinois, licensed in Illinois (019032270) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1205489671

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameANDREW ADIPUTRA

Location Address314 W KIRBY AVEChampaign, IL 61820-7208

Mailing Address314 W Kirby AveChampaign, IL 61820-7208 · (217) 398-9898

Phone(217) 398-9898

Sole ProprietorNo

Enumeration DateJuly 24, 2019

✔ NPI 1205489671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 019032270

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

314 W KIRBY AVE, Champaign, IL 61820

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TANYA LYNNE NIELSEN D.D.S.

Dentist (General Practice)

314 W KIRBY AVE
CHAMPAIGN, IL 61820

Champaign County (217) 398-9898

DENTAL PROFESSIONALS OF ILLINOIS, P.C.

Dentist (General Practice)

314 W KIRBY AVE
CHAMPAIGN, IL 61820

Champaign County (217) 398-9898

HEARTLAND FAMILY DENTAL CARE OF ILLINOIS, PC

Dentist (Orthodontics and Dentofacial Orthopedics)

314 W KIRBY AVE
CHAMPAIGN, IL 61820

Champaign County (217) 366-8371

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Adiputra's NPI number?

The NPI number for Andrew Adiputra is 1205489671. It was assigned to this individual provider in the NPPES registry on July 24, 2019.

Where is Andrew Adiputra located?

Andrew Adiputra practices at 314 W Kirby Ave, Champaign, IL 61820. The listed phone number is (217) 398-9898.

What is Andrew Adiputra's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Andrew Adiputra accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, BEST Life and Blue Cross and Blue Shield of Alabama and 12 other insurers list Andrew Adiputra as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrew Adiputra was last updated on July 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.