Active NPI
Pediatric Dentistry of Northwest Indiana PC
- Pediatric Dentistry
- Valparaiso, IN
National Provider Identifier
1992858658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- PEDIATRIC DENTISTRY OF NORTHWEST INDIANA PC
- Practice address
- 809 Wall St
Suite D
Valparaiso, IN 46383-2570 - Phone
- (219) 462-8779
- Fax
- (219) 531-2440
- NPI assigned
- Jan 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Terry G. Schechner, D.D.S.
- Title
- President
- Phone
- (219) 462-8779
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
809 Wall St
Suite D
Valparaiso, IN 46383-2570
Mailing address
809 Wall St
Suite D
Valparaiso, IN 46383-2570
Phone (219) 462-8779
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100914 | Other | IN | CHILDRENS SPECIAL HEALTH |
| 755187 | Other | IN | UNITED CONCORDIA |
National Provider Directory
National Provider Directory- Tax ID family
- Pediatric Dentistry of Northwest Indiana PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatric Dentistry
- Highland, IN
- NPI 1861417818
Locations
809 Wall St
Ste D
Valparaiso, IN 46383
Phone (219) 462-8779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1992858658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 WALL ST",
"address_2": "SUITE D",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463832570",
"telephone_number": "219-462-8779",
"fax_number": "219-531-2440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 WALL ST",
"address_2": "SUITE D",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463832570",
"telephone_number": "219-462-8779",
"fax_number": "219-531-2440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC DENTISTRY OF NORTHWEST INDIANA PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SCHECHNER",
"authorized_official_first_name": "TERRY",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "219-462-8779",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHILDRENS SPECIAL HEALTH",
"identifier": "100914",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "755187",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.