NPIMap

Organization Active NPI

Indiana Math and Science Academy West

  • Local Education Agency (LEA)
  • Indianapolis, IN
National Provider Identifier
1164833679
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
INDIANA MATH AND SCIENCE ACADEMY WEST
Practice address
4575 W 38TH St
Indianapolis, IN 46254-3313
Phone
(317) 252-3990
NPI assigned
May 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Authorized official

Name
Serquitto Golden
Title
Imsa Representative
Phone
(317) 252-3990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

4575 W 38TH St
Indianapolis, IN 46254-3313

Mailing address

4575 W 38TH St
Indianapolis, IN 46254-3313

National Provider Directory

National Provider Directory
Tax ID family
Indiana Math and Science Academy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4575 W 38th St
Indianapolis, IN 46254
Phone (317) 252-3990

NPI Registry JSON

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1164833679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 W 38TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462543313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 W 38TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462543313",
            "telephone_number": "317-252-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA MATH AND SCIENCE ACADEMY WEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "SERQUITTO",
        "authorized_official_title_or_position": "IMSA REPRESENTATIVE",
        "authorized_official_telephone_number": "317-252-3990"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "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 May 19, 2014; 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.