Active NPI
Katherine Noeldner
- Prosthodontics
- Granger, IN
National Provider Identifier
1841938347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 12014604A
- Practice address
- 7130 Heritage Square Dr Ste 420
Granger, IN 46530-5644 - Phone
- (574) 323-3783
- NPI assigned
- May 24, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Prosthodontics | 1223P0700X | 12014604A | IN | Primary |
Addresses
Primary practice location
7130 Heritage Square Dr Ste 420
Granger, IN 46530-5644
Mailing address
15236 Roswell CT
Granger, IN 46530-6298
Phone (574) 309-7206
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12014604A | IN | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1841938347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15236 ROSWELL CT",
"city": "GRANGER",
"state": "IN",
"postal_code": "465306298",
"telephone_number": "574-309-7206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7130 HERITAGE SQUARE DR STE 420",
"city": "GRANGER",
"state": "IN",
"postal_code": "465305644",
"telephone_number": "574-323-3783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOELDNER",
"first_name": "KATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-24",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "IN",
"license": "12014604A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Granger, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.