Individual provider Active NPI

Terry G. Schechner, D.D.S.

  • Pediatric Dentistry
  • Highland, IN
National Provider Identifier
1063431468
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
12008141A Issued in IN
Practice address
2833 Lincoln St
Suite 1
Highland, IN 46322-1924
Phone
(219) 838-2007
Fax
(219) 972-5267
NPI assigned
Jul 18, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 12008141A IN Primary

Addresses

Primary practice location

2833 Lincoln St
Suite 1
Highland, IN 46322-1924

Mailing address

85 Tanglewood TRL
Valparaiso, IN 46385-8942
Phone (219) 462-8891

Other identifiers 2

IdentifierTypeStateIssuer
130765OtherINUNITED CONCORDIA
755187OtherINUNITED CONCORDIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Pediatric Dentistry, P.C. Pediatric Dentistry PastSince May 25, 2021 Accepting new patients
Pediatric Dentistry of Northwest Indiana PC Pediatric Dentistry Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1063431468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 TANGLEWOOD TRL",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463858942",
            "telephone_number": "219-462-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2833 LINCOLN ST",
            "address_2": "SUITE 1",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463221924",
            "telephone_number": "219-838-2007",
            "fax_number": "219-972-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHECHNER",
        "first_name": "TERRY",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12008141A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "130765",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "755187",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.