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DALE DENNIS DEARDORFF M.D.
NPI 1043266653
Family Medicine in Mishawaka, IN

Active since May 25, 2006
420 W 4TH ST, SUITE 180, MISHAWAKA, IN 46544(574) 247-3456(574) 247-3455 Get Directions Write a Review

NPPES record last updated: February 23, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dale Dennis Deardorff M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DALE DENNIS DEARDORFF M.D. (NPI 1043266653) is an individual family medicine provider in Mishawaka, Indiana, licensed in Indiana (01025330) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1043266653
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDALE DENNIS DEARDORFFCredential: M.D.
Location Address420 W 4TH ST, SUITE 180Mishawaka, IN 46544-1948
Mailing AddressPo Box 6309South Bend, IN 46660-6309 · (574) 472-6700 · Fax (574) 472-6746
Phone(574) 247-3456
Fax(574) 247-3455
Sole ProprietorNo
Enumeration DateMay 25, 2006
Last NPPES UpdateFebruary 23, 2009
✔ NPI 1043266653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01025330
Definition
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.
420 W 4TH ST, Mishawaka, IN 46544
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Other Identifiers 5

Other000000214800IN · Bcbs
Medicare PIN187670EIN
Medicare UPINB29391IN
Medicare PIN08182112IN
Medicaid100220930AIN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROXTON THAYNE DAVIS PHARMD
Pharmacist
420 W 4TH ST
MISHAWAKA, IN 46544
St. Joseph County (574) 307-7673
DR. MONICA A RIVERS PHARMD, MBA
Pharmacist
420 W 4TH ST
MISHAWAKA, IN 46544
St. Joseph County (574) 307-7673
JANA SCHENKEL CNM
Advanced Practice Midwife
420 W 4TH ST
MISHAWAKA, IN 46544
St. Joseph County (574) 307-7673
JESSICA A GNOTH
Registered Nurse
420 W 4TH ST
MISHAWAKA, IN 46544
St. Joseph County (574) 307-7673
DANIEL J TRIEZENBERG MD
Family Medicine
420 W 4TH ST
MISHAWAKA, IN 46544
St. Joseph County (219) 462-7173
CHAYA KOLODNY FNP
Nurse Practitioner (Family)
420 W 4TH ST
MISHAWAKA, IN 46544
St. Joseph County (888) 580-1060
MS. KRISTEN E BREE NP
Nurse Practitioner (Family)
420 W 4TH ST
MISHAWAKA, IN 46544
St. Joseph County (574) 307-7673
NATALIA ZUREK PHARMD
Pharmacist
420 W 4TH ST
MISHAWAKA, IN 46544
St. Joseph County (574) 307-7673

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dale Deardorff's NPI number?

The NPI number for Dale Deardorff is 1043266653. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Dale Deardorff located?

Dale Deardorff practices at 420 W 4th St Suite 180, Mishawaka, IN 46544. The listed phone number is (574) 247-3456.

What is Dale Deardorff's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Dale Deardorff was last updated on February 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.