Provider Type Icon

MILES D. SCHROEDER AND GERALYN M. SCHROEDER P.C. NPI 1194105502


NPI Information

NPI: 1194105502
Provider Name: MILES D. SCHROEDER AND GERALYN M. SCHROEDER, P.C.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
8028 E 10TH ST
SUITE C
INDIANAPOLIS, IN
ZIP 46219
Phone: (317) 897-8028
Get Directions

MILES D. SCHROEDER AND GERALYN M. SCHROEDER, P.C. is a general practice dentist in Indianapolis, IN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MILES D. SCHROEDER AND GERALYN M. SCHROEDER, P.C. NPI is 1194105502. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

8028 E 10TH ST
SUITE C
INDIANAPOLIS, IN
ZIP 46219-242
Phone: (317) 897-8028
Fax: (317) 897-8025

The provider's authorized official is Miles D Schroeder .
The authorized official title is Dentist and has the following contact phone number (317) 897-8028.

The enumeration date for this NPI number is 6/2/2015 and was last updated on 6/2/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice7658INDIANANo
21223G0001XDentistGeneral Practice7381INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200190760AMEDICAIDINDIANA
21447397765OTHERINDIANANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.