Individual provider Active NPI

Neal B Richter, DDS

  • Dentist
  • Merrillville, IN
National Provider Identifier
1114923174
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8029 Issued in IN
Practice address
8750 Broadway
Ste D
Merrillville, IN 46410-5950
Phone
(219) 769-4600
Fax
(219) 769-4933
NPI assigned
Jun 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8029 IN Primary

Addresses

Primary practice location

8750 Broadway
Ste D
Merrillville, IN 46410-5950

Mailing address

8750 Broadway
Ste D
Merrillville, IN 46410-5950
Phone (219) 769-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150910002823 IN Order and Referring Only - DentistPractitioner - Dentist 4486961299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8029INMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114923174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8750 BROADWAY",
            "address_2": "STE D",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105950",
            "telephone_number": "219-769-4600",
            "fax_number": "219-769-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8750 BROADWAY",
            "address_2": "STE D",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105950",
            "telephone_number": "219-769-4600",
            "fax_number": "219-769-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHTER",
        "first_name": "NEAL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "8029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.