NPIMap

Organization Active NPI

Indy Center for Sleep Health LLC

  • Customized Equipment (DME)
  • Fishers, IN
National Provider Identifier
1194295600
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
INDY CENTER FOR SLEEP HEALTH LLC
Practice address
13578 E 131St St Ste 101B
Fishers, IN 46037-6400
Phone
(317) 999-9977
Fax
(317) 219-5580
NPI assigned
Nov 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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

Authorized official

Name
Dr. Jack E Nicewander, DDSNPI 1659443802
Title
Partner
Phone
(317) 999-9977

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

13578 E 131St St Ste 101B
Fishers, IN 46037-6400

Mailing address

13578 E 131St St Ste 101B
Fishers, IN 46037-6400
Phone (317) 999-9977

Other practice location 1

5511 E 82nd St Ste F
Indianapolis, IN 46250-4515
Phone (317) 842-1903

National Provider Directory

National Provider Directory

Locations

13578 E 131st St
Ste 101B
Fishers, IN 46037
Phone (317) 999-9977

Practitioners & affiliated clinicians

Practitioners 2

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": "1543276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586390400000",
    "number": "1194295600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13578 E 131ST ST STE 101B",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460376400",
            "telephone_number": "317-999-9977",
            "fax_number": "317-219-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13578 E 131ST ST STE 101B",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460376400",
            "telephone_number": "317-999-9977",
            "fax_number": "317-219-5580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5511 E 82nd St Ste F",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462504515",
            "country_code": "US",
            "telephone_number": "317-842-1903",
            "fax_number": "317-849-8054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INDY CENTER FOR SLEEP HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-27",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "NICEWANDER",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "317-999-9977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.