Red Road Ventures LLC

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

RED ROAD VENTURES LLC

Doing business as

Quillo

Practice address

5454 Leone Dr
Indianapolis, IN 46226-1748

Phone

(317) 626-4387

NPI assigned

Feb 17, 2023

Organization subpart

No

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

Authorized official

Name

John Martin Dickerson

Title

Ceo/Founder

Phone

(317) 626-4387

Specialties & licenses 1

Addresses

Other names 1

• Quillo Doing business as

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1114625357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 LEONE DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462261748",
            "telephone_number": "317-626-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 LEONE DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462261748",
            "telephone_number": "317-626-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED ROAD VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "317-626-4387"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quillo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Public Health or Welfare Agency in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Public Health or Welfare Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.