Claudette R Dandridge, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

01036379 Issued in IN

Practice address

6920 Indianapolis Blvd
Hammond, IN 46324-2206

Phone

(219) 763-8112

Fax

(219) 764-3251

NPI assigned

Aug 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cdandridge7434@themethodisthospitals.direct-ci.com
• Direct secure messaging: claudette.dandridge.p1@direct.northshorehealth.nextgenshare.com

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.

• Northshore Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Merrillville, IN
  • NPI 1114257300
  Medicare reassignment NPD
• Porter-Starke Services Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Valparaiso, IN
  • NPI 1689627598
  Medicare reassignment NPD
• Northshore Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • East Chicago, IN
  • NPI 1336992999
  NPD
• Northshore Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lake Station, IN
  • NPI 1972895647
  NPD
• Porter-Starke Services Inc.

  • Federally Qualified Health Center (FQHC)
  • Valparaiso, IN
  • NPI 1659196236
  NPD
• Porter-Starke Services Inc.

  • Federally Qualified Health Center (FQHC)
  • Gary, IN
  • NPI 1023485356
  NPD (past)
• Porter-Starke Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hebron, IN
  • NPI 1447815758
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1821101957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1430",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463689230",
            "telephone_number": "219-763-8112",
            "fax_number": "219-764-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 INDIANAPOLIS BLVD",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463242206",
            "telephone_number": "219-763-8112",
            "fax_number": "219-764-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANDRIDGE",
        "first_name": "CLAUDETTE",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01036379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100215560",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER ID NO",
            "identifier": "000000096837",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cdandridge7434@themethodisthospitals.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Porter-Starke Services Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3229 Broadway",
            "city": "Gary",
            "state": "IN",
            "country_code": "US",
            "postal_code": "464091036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• D2 Dental of Hammond
• Damasius Inc
• Damasius Inc
• Damasius Inc
• Nathan Jonas Damasius, PHARMD
• Latecha Daniels
• Ronald Eugene Daulton Jr., D.C.
• Judy Davern, MSW
• Keona Chantel Davis
• Martha Davis, PHARMD

• Specialist in Hammond, IN
• Providers in Hammond, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.