Natalie Rueth Anderson, D.M.D
Individual provider Active NPI Dentist · Crown Point, IN
NPI 1114769395 · NPPES record last updated Jun 10, 2024
Key facts
- NPI
- 1114769395
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 12014480A (IN)
- Practice address
- 7101 E Lincoln Hwy
Crown Point, IN 46307-8821 - Phone
- (219) 775-0103
- NPI assigned
- Jun 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12014480A | IN | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12014480A | IN | Yes |
Addresses
Primary practice location
7101 E Lincoln Hwy
Crown Point, IN 46307-8821
Mailing address
622 Margaux CT
Valparaiso, IN 46383-8803
Phone (219) 775-0103
Other practice location 1
901 Fran Lin Pkwy
Munster, IN 46321-3540
Phone (219) 836-0460
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.