NPIMap

Organization Active NPI

Indy Medical Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Zionsville, IN
National Provider Identifier
1306174487
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
INDY MEDICAL SUPPLIES LLC
Practice address
650 S 800 E
Zionsville, IN 46077-9716
Phone
(317) 431-7345
Fax
(317) 769-3847
NPI assigned
Nov 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Authorized official

Name
Bonita Webster, RT (R)
Title
Vice President
Phone
(317) 431-7345

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X IN Primary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X 335V00000X IN

Addresses

Primary practice location

650 S 800 E
Zionsville, IN 46077-9716

Mailing address

650 S 800 E
Zionsville, IN 46077-9716
Phone (317) 431-7345

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1306174487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 S 800 E",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460779716",
            "telephone_number": "317-431-7345",
            "fax_number": "317-769-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 S 800 E",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460779716",
            "telephone_number": "317-431-7345",
            "fax_number": "317-769-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDY MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-30",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "BONITA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "317-431-7345",
        "authorized_official_credential": "RT (R)"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": null,
            "primary": true
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "IN",
            "license": "335V00000X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zionsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.