NPIMap

Organization Active NPI

Ailanto, LLC

Doing business as BodyLogicMD of Indianapolis

  • Specialist
  • Indianapolis, IN
National Provider Identifier
1013150762
Registry record updated Apr 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
01033610A Issued in IN
Legal business name
AILANTO, LLC
Doing business as
BodyLogicMD of Indianapolis
Practice address
3003 E 98TH St
Suite 261
Indianapolis, IN 46280-1998
Phone
(866) 315-2787
Fax
(866) 315-7638
NPI assigned
Apr 10, 2009
Last updated
Apr 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Roger Spahr, M.D.NPI 1235195991
Title
Director
Phone
(866) 315-2787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 01033610A IN Primary

Addresses

Primary practice location

3003 E 98TH St
Suite 261
Indianapolis, IN 46280-1998

Mailing address

3003 E 98TH St
Suite 261
Indianapolis, IN 46280-1998
Phone (866) 315-2787

Other names 1

  • BodyLogicMD of Indianapolis Doing business as

National Provider Directory

National Provider Directory

Locations

3003 E 98th St
Ste 261
Carmel, IN 46280
Phone (866) 315-2787

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239321600000",
    "number": "1013150762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 E 98TH ST",
            "address_2": "SUITE 261",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462801998",
            "telephone_number": "866-315-2787",
            "fax_number": "866-315-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 E 98TH ST",
            "address_2": "SUITE 261",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462801998",
            "telephone_number": "866-315-2787",
            "fax_number": "866-315-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AILANTO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-10",
        "last_updated": "2009-04-10",
        "status": "A",
        "authorized_official_last_name": "SPAHR",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "866-315-2787",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01033610A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BodyLogicMD of Indianapolis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.