Active NPI
Marcia a Soder DDS PC
- General Practice Dentistry
- Indianapolis, IN
National Provider Identifier
1396043154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1200 8734
- Legal business name
- MARCIA A SODER DDS PC
- Practice address
- 6002 W 62ND St
Indianapolis, IN 46278-2909 - Phone
- (317) 293-5011
- Fax
- (317) 291-7693
- NPI assigned
- Mar 3, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lynne Wright
- Title
- Office Manager
- Phone
- (317) 293-5011
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1200 8734 | IN | Primary |
Addresses
Primary practice location
6002 W 62ND St
Indianapolis, IN 46278-2909
Mailing address
6002 W 62ND St
Indianapolis, IN 46278-2909
Phone (317) 293-5011
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Indianapolis, IN
- NPI 1679585244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299110400000",
"number": "1396043154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6002 W 62ND ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462782909",
"telephone_number": "317-293-5011",
"fax_number": "317-291-7693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6002 W 62ND ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462782909",
"telephone_number": "317-293-5011",
"fax_number": "317-291-7693"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARCIA A SODER DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-03",
"last_updated": "2011-03-03",
"status": "A",
"authorized_official_last_name": "WRIGHT",
"authorized_official_first_name": "LYNNE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "317-293-5011"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "1200 8734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.