Robert S. Mandresh DPM PC Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

07000552B Issued in IN

Legal business name

ROBERT S. MANDRESH DPM PC INC

Practice address

8330 Naab Rd Ste 135
Indianapolis, IN 46260-1932

Phone

(317) 415-6300

Fax

(317) 415-6304

NPI assigned

Mar 26, 2008

Organization subpart

No

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

Authorized official

Name

Robert S Mandresh

Title

DPM

Phone

(317) 313-1665

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1306018767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8330 NAAB RD STE 135",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601932",
            "telephone_number": "317-415-6300",
            "fax_number": "317-415-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8330 NAAB RD STE 135",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601932",
            "telephone_number": "317-415-6300",
            "fax_number": "317-415-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT S. MANDRESH DPM PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "MANDRESH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "317-313-1665"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000552B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.