Lakeshore Family Dental, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54001178A Issued in IN

Legal business name

LAKESHORE FAMILY DENTAL, P.C.

Practice address

1232 E Michigan Blvd
Michigan City, IN 46360-4856

Phone

(219) 872-2116

Fax

(219) 874-7087

NPI assigned

Sep 23, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Vidas Thomas Noreika, D.D.S.NPI 1699875286

Title

President

Phone

(219) 872-2116

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vidas Thomas Noreika, D.D.S.

  • General Practice Dentistry
  • Michigan City, IN
  • NPI 1699875286
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053411645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 E MICHIGAN BLVD",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463604856",
            "telephone_number": "219-872-2116",
            "fax_number": "219-874-7087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 E MICHIGAN BLVD",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463604856",
            "telephone_number": "219-872-2116",
            "fax_number": "219-874-7087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE FAMILY DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOREIKA",
        "authorized_official_first_name": "VIDAS",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-872-2116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "54001178A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lakeshore Bone & Joint Institute, PC
• Lakeshore Cardiovascular Institute LLC
• Lakeshore Eye Consultants, LLC (Lakeshore Eye Consultants)
• Lakeshore Eye Specialists PC
• Lakeshore Interventional Pain Associates, LLC
• Gregoria B Landicho, MD
• Christie Ann Lant, DDS
• Laporte County Comprehensive Mental Health Council (Swanson Center)
• Laporte County Comprehensive Mental Health Council (Swanson Center)

• General Practice Dentistry in Michigan City, IN
• Providers in Michigan City, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.