Individual provider Active NPI

Christina Wroblewski, DDS

  • Dentist
  • Anderson, IN
National Provider Identifier
1790865343
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12009528 Issued in IN
Practice address
3814 Fairview Dr
Anderson, IN 46013-4058
Phone
(765) 644-1000
Fax
(765) 644-1904
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12009528 IN Primary

Addresses

Primary practice location

3814 Fairview Dr
Anderson, IN 46013-4058

Mailing address

3814 Fairview Dr
Anderson, IN 46013-4058
Phone (765) 644-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150624002050 IL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 2365753811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12009528INMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Christina Wroblewski, DDS, PC Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1790865343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3814 FAIRVIEW DR",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460134058",
            "telephone_number": "765-644-1000",
            "fax_number": "765-644-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3814 FAIRVIEW DR",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460134058",
            "telephone_number": "765-644-1000",
            "fax_number": "765-644-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WROBLEWSKI",
        "first_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

Verify at the official NPI Registry.