Organization Active NPI

Essential Development Corporation

  • Preferred Provider Organization
  • Indianapolis, IN
National Provider Identifier
1225262702
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
20042020A Issued in IN
Legal business name
ESSENTIAL DEVELOPMENT CORPORATION
Practice address
1426 W 29TH St Ste 209
Indianapolis, IN 46208-4993
Phone
(317) 924-2824
Fax
(317) 924-4922
NPI assigned
May 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Authorized official

Name
Ms. Doris Walker Jones, COUNSELOR
Title
Chief Operational Manager
Phone
(317) 924-2824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 20042020A IN Primary

Addresses

Primary practice location

1426 W 29TH St Ste 209
Indianapolis, IN 46208-4993

Mailing address

1426 W 29TH St Ste 209
Indianapolis, IN 46208-4993
Phone (317) 924-2824

National Provider Directory

National Provider Directory
Tax ID family
Essential Development Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1426 W 29th St
Ste 209
Indianapolis, IN 46208
Phone (317) 924-2824

NPI Registry JSON

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1225262702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 W 29TH ST STE 209",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462084993",
            "telephone_number": "317-924-2824",
            "fax_number": "317-924-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 W 29TH ST STE 209",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462084993",
            "telephone_number": "317-924-2824",
            "fax_number": "317-924-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "WALKER",
        "authorized_official_title_or_position": "CHIEF OPERATIONAL MANAGER",
        "authorized_official_telephone_number": "317-924-2824",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "COUNSELOR"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IN",
            "license": "20042020A",
            "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 12, 2009; 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.