Organization Active NPI

Marcia a Soder DDS PC

  • General Practice Dentistry
  • Indianapolis, IN
National Provider Identifier
1396043154
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1200 8734 Issued in IN
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

Updated by the provider on Mar 3, 2011

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

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": "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.

Verify at the official NPI Registry.