NPIMap

Organization Active NPI

Indianapolis Breast Center, PC

  • Diagnostic Radiology Physician
  • Indianapolis, IN
National Provider Identifier
1154364495
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
01040614 Issued in IN
Legal business name
INDIANAPOLIS BREAST CENTER, PC
Practice address
1950 W 86TH St
Suite 300
Indianapolis, IN 46260-2076
Phone
(317) 872-3583
Fax
(317) 872-9856
NPI assigned
Jun 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
Lucia M Spears, MDNPI 1932193968
Title
Owner
Phone
(317) 872-3583

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
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 01040614 IN Primary

Addresses

Primary practice location

1950 W 86TH St
Suite 300
Indianapolis, IN 46260-2076

Mailing address

1950 W 86TH St
Suite 300
Indianapolis, IN 46260-2076
Phone (317) 872-3583

Other identifiers 1

IdentifierTypeStateIssuer
200346250MedicaidIN

National Provider Directory

National Provider Directory

Locations

11450 N Meridian St
Fl 1
Carmel, IN 46032
Phone (317) 872-3583

1950 W 86th St
Ste 300
Indianapolis, IN 46260
Phone (317) 872-3583

107 N Pennsylvania St
Ste 600
Indianapolis, IN 46204

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1154364495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 W 86TH ST",
            "address_2": "SUITE 300",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602076",
            "telephone_number": "317-872-3583",
            "fax_number": "317-872-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 W 86TH ST",
            "address_2": "SUITE 300",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602076",
            "telephone_number": "317-872-3583",
            "fax_number": "317-872-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANAPOLIS BREAST CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "SPEARS",
        "authorized_official_first_name": "LUCIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-872-3583",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01040614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200346250",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 11, 2008; 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.