Claudette Dandridge M.D.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

01036379 Issued in IN

Legal business name

CLAUDETTE DANDRIDGE M.D.

Practice address

720 W 5TH Ave
Gary, IN 46402-1808

Phone

(219) 882-0262

Fax

(219) 882-0515

NPI assigned

Jan 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Claudette R Dandridge, M.D.

Title

Ceo

Phone

(219) 882-0262

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1245502947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W 5TH AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464021808",
            "telephone_number": "219-882-0262",
            "fax_number": "219-882-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W 5TH AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464021808",
            "telephone_number": "219-882-0262",
            "fax_number": "219-882-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAUDETTE DANDRIDGE M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "DANDRIDGE",
        "authorized_official_first_name": "CLAUDETTE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-882-0262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IN",
            "license": "01036379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Gary Fire Department, EMS
• City of Gary Indiana
• Clark Nursing and Rehabilitation Center, LLC
• Cornelius Clark Jr.
• Marsha Clark, RN
• Susan Clay
• April Clayborne
• Marlon Clayton
• Elnora G Cleveland
• Client Conscious Care, LLC

• Primary Care Clinic/Center in Gary, IN
• Providers in Gary, IN by specialty
• Primary Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.