Organization Active NPI

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  • Obesity and Weight Management Nutrition Registered Dietitian
  • Indianapolis, IN
National Provider Identifier
1427773498
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity and Weight Management Nutrition Registered DietitianTaxonomy code 133VN1201X
Legal business name
BUILT BY WIKOFF
Practice address
928 E Minnesota St
Indianapolis, IN 46203-3920
Phone
(317) 999-7853
NPI assigned
Oct 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
Ashley Eaves, RDNPI 1043944556
Title
Clinician
Phone
(317) 999-7853

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity and Weight Management Nutrition Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133VN1201X Primary

Addresses

Primary practice location

928 E Minnesota St
Indianapolis, IN 46203-3920

Mailing address

928 E Minnesota St
Indianapolis, IN 46203-3920
Phone (317) 999-7853

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1427773498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 E MINNESOTA ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462033920",
            "telephone_number": "317-999-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 E MINNESOTA ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462033920",
            "telephone_number": "317-999-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUILT BY WIKOFF",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "EAVES",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "317-999-7853",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133VN1201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "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 Oct 11, 2022; 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.