Individual provider Active NPI

John W Drone, D.D.S.

  • General Practice Dentistry
  • Munster, IN
National Provider Identifier
1972526267
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12010439A Issued in IN
Practice address
901 Fran Lin Pkwy
Munster, IN 46321-3540
Phone
(219) 836-0460
Fax
(219) 836-1174
NPI assigned
Jul 26, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12010439A IN Primary

Addresses

Primary practice location

901 Fran Lin Pkwy
Munster, IN 46321-3540

Mailing address

1245 River Dr
Munster, IN 46321-1331
Phone (219) 972-0194

Other identifiers 2

IdentifierTypeStateIssuer
12010439AOtherINDENTIST LICENSE
12010439BOtherINCONTOLLED SUBSTANCE REGIS

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111005000838 IN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2961674403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12010439AINMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1972526267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 RIVER DR",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211331",
            "telephone_number": "219-972-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 FRAN LIN PKWY",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213540",
            "telephone_number": "219-836-0460",
            "fax_number": "219-836-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRONE",
        "first_name": "JOHN",
        "middle_name": "W",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010439A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST LICENSE",
            "identifier": "12010439A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTOLLED SUBSTANCE REGIS",
            "identifier": "12010439B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.