Dragonfly Advanced Wound Care

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DRAGONFLY ADVANCED WOUND CARE

Practice address

6835 E Southport Rd Ste D
Indianapolis, IN 46237-9714

Phone

(317) 572-7076

Fax

(586) 204-2483

NPI assigned

Dec 14, 2022

Last updated

Dec 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Caleb Wiles

Title

Practice Manager

Phone

(317) 690-5706

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Jacob Saah Fayiah

  • Family Nurse Practitioner
  • Indianapolis, IN
  • NPI 1093473100
  NPD
• Emily Marie McClure, NP

  • Family Nurse Practitioner
  • Carmel, IN
  • NPI 1497320576
  NPD
• Crystal Wiles

  • Family Nurse Practitioner
  • Indianapolis, IN
  • NPI 1831578970
  NPD

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1093427700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6835 E SOUTHPORT RD STE D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462379714",
            "telephone_number": "317-572-7076",
            "fax_number": "586-204-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6835 E SOUTHPORT RD STE D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462379714",
            "telephone_number": "317-572-7076",
            "fax_number": "586-204-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAGONFLY ADVANCED WOUND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "WILES",
        "authorized_official_first_name": "CALEB",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "317-690-5706"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Yung, PC
• Dr.Andrey M Horton DDS,PC
• Dr.H.Hubbard and Associates, P.C.
• Natalie Marie Dragan, LMHC
• Marko V Dragisic
• Dragonfly Primary Care LLC
• David D. Dragoo, M.D.
• Dylan Dragoo
• Susan Draheim, DDS
• Andrew Lee Drahos, M.D.

• Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.