Individual provider Active NPI

Michael Loren Drone, DDS, MS

  • Prosthodontics
  • Valparaiso, IN
National Provider Identifier
1609031335
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
12010655A Issued in IN
Practice address
809 Wall St Ste B
Valparaiso, IN 46383-2571
Phone
(219) 462-2564
Fax
(219) 548-2668
NPI assigned
Jul 22, 2008
Last updated
Jul 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 12010655A IN Primary

Addresses

Primary practice location

809 Wall St Ste B
Valparaiso, IN 46383-2571

Mailing address

809 Wall St Ste B
Valparaiso, IN 46383-2571
Phone (219) 462-2564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
12010655AINMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1609031335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 WALL ST STE B",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832571",
            "telephone_number": "219-462-2564",
            "fax_number": "219-548-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 WALL ST STE B",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832571",
            "telephone_number": "219-462-2564",
            "fax_number": "219-548-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRONE",
        "first_name": "MICHAEL",
        "middle_name": "LOREN",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "IN",
            "license": "12010655A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.