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NPI · 1962078642 · NPPES-sourced

Periodontal Associates Of South Bend

ActivePeriodontics
NPI Number
1962078642
Type 2 · Organisation
Taxonomy Code
1223P0300X
Contact
(574) 287-8900
Primary practice line
Last Updated
Enumerated
Primary practice addressIN · 46617-1711
1918 Edison RdSouth Bend, IN 46617-1711
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About this NPIWhat this record shows.

NPI 1962078642 is registered to Periodontal Associates Of South Bend, a healthcare organisation classified as "Periodontics" and located at 1918 Edison Rd in South Bend, Indiana. The organisation's authorised official is Gloria Royer. The organisation has been enumerated in the NPI registry since 2021.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 12013130AIN· Issued by DENTAL LICENSE

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Periodontal Associates Of South Bend accepts. To confirm in-network status with your specific health plan, contact Periodontal Associates Of South Bend directly at (574) 287-8900.

Frequently asked

Yes. NPI 1962078642 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Periodontics is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (574) 287-8900.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Periodontal Associates Of South Bend is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy1223P0300X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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Same specialtyOther Periodontics providers in Indiana.

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