DALE D. DEARDORFF M.D. – NPI #1043266653
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

DALE DEARDORFF is a physician located in MISHAWAKA, IN. NPPES has assigned the NPI number 1043266653 to DALE DEARDORFF on May 25, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 17 years ago on Feb 23, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DALE DEARDORFF below.

NPI Profile for
DALE D. DEARDORFF

NPI Number
1043266653
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DALE D. DEARDORFF
Credentials
M.D.
Primary location
420 W 4TH ST
SUITE 180
MISHAWAKA, IN 46544-1948
Phone: (574) 247-3456 Fax: (574) 247-3455
Mailing address
PO BOX 6309
SOUTH BEND, IN 46660-6309
Phone: (574) 472-6700 Fax: (574) 472-6746
Sole Proprietor
No
Updated
Identifiers

Identifiers for DALE DEARDORFF

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBSIN000000214800
MEDICAIDIN100220930A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
IN 01025330

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.