Organization Active NPI

Andrew Dick MD PC

  • Specialist
  • Indianapolis, IN
National Provider Identifier
1154519320
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
01032061 Issued in IN
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.