Shideler Dentistry, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12007898 Issued in IN

Legal business name

SHIDELER DENTISTRY, P.C.

Practice address

8 N Garfield
Valparaiso, IN 46383-5019

Phone

(219) 462-7391

Fax

(219) 464-0262

NPI assigned

Mar 1, 2013

Organization subpart

No

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

Authorized official

Name

Dr. William Mark ShidelerNPI 1932267424

Title

DDS

Phone

(219) 462-7391

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Mark Shideler, DDS

  • General Practice Dentistry
  • Valparaiso, IN
  • NPI 1932267424
  NPD (past) Authorized official

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362096000000",
    "number": "1932440898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 N GARFIELD",
            "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 N GARFIELD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835019",
            "telephone_number": "219-462-7391",
            "fax_number": "219-464-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIDELER DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-01",
        "last_updated": "2013-03-01",
        "status": "A",
        "authorized_official_last_name": "SHIDELER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "219-462-7391",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12007898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• 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 Mar 1, 2013; 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.