Organization Active NPI

M & P Dental

  • Dental Clinic/Center
  • Munster, IN
National Provider Identifier
1174088942
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
M & P DENTAL
Practice address
9337 Calumet Ave Ste C-1
Munster, IN 46321-5805
Phone
(219) 836-2330
NPI assigned
Feb 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Authorized official

Name
Marc Stojkovich, DDS
Title
Partner
Phone
(219) 384-0487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

9337 Calumet Ave Ste C-1
Munster, IN 46321-5805

Mailing address

10800 Maine Dr
Crown Point, IN 46307-7074

Other practice location 1

12712 Wicker Ave
Cedar Lake, IN 46303-9590
Phone (219) 384-0487

National Provider Directory

National Provider Directory

Locations

12712 Wicker Ave
Cedar Lake, IN 46303
Phone (219) 374-6398

9337 Calumet Ave
Ste C1
Munster, IN 46321
Phone (219) 836-2330

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1174088942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 MAINE DR",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9337 CALUMET AVE STE C-1",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463215805",
            "telephone_number": "219-836-2330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12712 Wicker Ave",
            "address_purpose": "LOCATION",
            "city": "Cedar Lake",
            "state": "IN",
            "postal_code": "463039590",
            "country_code": "US",
            "telephone_number": "219-384-0487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "M & P DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "STOJKOVICH",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "219-384-0487",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.