William Mark Shideler, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12007898A Issued in IN

Practice address

8 North Garfield Avenue
Valparaiso, IN 46383-5019

Phone

(219) 462-7391

Fax

(219) 464-0262

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Shideler Dentistry, P.C.

  • General Practice Dentistry
  • Valparaiso, IN
  • NPI 1932440898
  NPD (past) Authorized official

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932267424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 NORTH GARFIELD AVENUE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835019",
            "telephone_number": "219-462-7391",
            "fax_number": "219-464-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 NORTH GARFIELD AVENUE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835019",
            "telephone_number": "219-462-7391",
            "fax_number": "219-464-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIDELER",
        "first_name": "WILLIAM",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12007898A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Marie Sheets, LMHC, LCPC
• Shirley Sheth, D.O
• Tanya Shevavesh, M.D.
• Shelly Shibu, DO
• Shideler Dentistry, P.C.
• Shifa Clinic PC
• Shifa Clinic, P.C.
• Shifting Sands Therapy LLC
• Tara Shingler
• Tia Shively

• General Practice Dentistry in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.