Northwest Indiana Center for Dental Implants and Gerneral Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NORTHWEST INDIANA CENTER FOR DENTAL IMPLANTS AND GERNERAL DENTISTRY

Practice address

124 E US Highway 30
Schererville, IN 46375-2117

Phone

(219) 865-3050

Fax

(219) 865-3431

NPI assigned

Apr 29, 2015

Organization subpart

No

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

Authorized official

Name

Dr. John S Frazee, DDSNPI 1750703294

Title

Dentist/ Owner

Phone

(219) 865-3050

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• John Frazee, D.D.S.

  • Dentist
  • Schererville, IN
  • NPI 1750703294
  NPD (past) Authorized official
• Richard A Guaccio, DDS

  • General Practice Dentistry
  • Schererville, IN
  • NPI 1396865960
  NPD (past)

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174900179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 E US HIGHWAY 30",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463752117",
            "telephone_number": "219-865-3050",
            "fax_number": "219-865-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E US HIGHWAY 30",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463752117",
            "telephone_number": "219-865-3050",
            "fax_number": "219-865-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST INDIANA CENTER FOR DENTAL IMPLANTS AND GERNERAL DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FRAZEE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "219-865-3050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabelle Michaela Perez Nievera, MD
• Alicia Noonan, NURSE PRACTITIONER
• Lyllien Amanda Noonan, MED.
• Julie Ann Norman, NP-C
• Northshore Health Centers, Inc. (NorthShore Schererville Health Center)
• Northwest Indiana Chiropractic Health Inc
• Northwest Indiana Counseling, LLC
• Northwest Oral Surgeons PC
• Nwi Urgent Family Care, LLC
• Omiyosoye Ololade, MD

• General Practice Dentistry in Schererville, IN
• Providers in Schererville, 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 Jul 21, 2022; 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.