DR ANDREK ROSPED INGERSOLL DENTAL CORPORATION
NPI 1689525958
Dentist - Pediatric Dentistry in Roseville, CA

Q: What is Dr Andrek Rosped Ingersoll Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since February 04, 2026

1431 SECRET RAVINE PKWY STE 151, ROSEVILLE, CA 95661(916) 782-3161 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr Andrek Rosped Ingersoll Dental Corporation NPPES

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

DR ANDREK ROSPED INGERSOLL DENTAL CORPORATION (NPI 1689525958), doing business as Bear Hollow Kids Dentistry - Roseville, is a healthcare organization registered as a pediatric dentistry in Roseville, California and active in the NPI registry since February 2026. The organization lists Stacy Kingrey, Regional Manager, as its authorized official.

NPPES Registry Identity

NPI1689525958

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameDR ANDREK ROSPED INGERSOLL DENTAL CORPORATION

Location Address1431 SECRET RAVINE PKWY STE 151Roseville, CA 95661-4051

Mailing Address1431 Secret Ravine Pkwy Ste 151Roseville, CA 95661-4051 · (916) 782-3161

Phone(916) 782-3161

Organization SubpartNo

Authorized OfficialStacy KingreyRegional Manager · (530) 356-4685

Enumeration DateFebruary 4, 2026

NPPES CertifiedFebruary 4, 2026

✔ NPI 1689525958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

1431 SECRET RAVINE PKWY STE 151, Roseville, CA 95661

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Other Names 1

Doing Business AsBear Hollow Kids Dentistry - Roseville

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Dr Andrek Rosped Ingersoll Dental Corporation's NPI number?

The NPI number for Dr Andrek Rosped Ingersoll Dental Corporation is 1689525958. It was assigned to this organization in the NPPES registry on February 4, 2026. The provider is doing business as Bear Hollow Kids Dentistry - Roseville.

Where is Dr Andrek Rosped Ingersoll Dental Corporation located?

Dr Andrek Rosped Ingersoll Dental Corporation is located at 1431 Secret Ravine Pkwy Ste 151, Roseville, CA 95661. The listed phone number is (916) 782-3161.

What is Dr Andrek Rosped Ingersoll Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Dr Andrek Rosped Ingersoll Dental Corporation was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.