Active NPI
Andrew Dick MD PC
- Specialist
- Indianapolis, IN
National Provider Identifier
1154519320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 01032061
- Legal business name
- ANDREW DICK MD PC
- Practice address
- 5128 E Stop 11 Rd
34
Indianapolis, IN 46237-6337 - Phone
- (317) 885-8150
- Fax
- (317) 885-9807
- NPI assigned
- Oct 12, 2007
- Last updated
- Oct 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrew Dick, MD
- Title
- MD/Owner
- Phone
- (317) 885-8150
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 01032061 | IN | Primary |
Addresses
Primary practice location
5128 E Stop 11 Rd
34
Indianapolis, IN 46237-6337
Mailing address
5128 E Stop 11 Rd
34
Indianapolis, IN 46237-6337
Phone (317) 885-8150
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223424000000",
"number": "1154519320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5128 E STOP 11 RD",
"address_2": "34",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462376337",
"telephone_number": "317-885-8150",
"fax_number": "317-885-9807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5128 E STOP 11 RD",
"address_2": "34",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462376337",
"telephone_number": "317-885-8150",
"fax_number": "317-885-9807"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDREW DICK MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-12",
"last_updated": "2008-10-08",
"status": "A",
"authorized_official_last_name": "DICK",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "317-885-8150",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "IN",
"license": "01032061",
"primary": true
}
],
"identifiers": [],
"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 Oct 8, 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.