Organization Active NPI

Community Physician Network Nutrition Services LLC

  • Registered Dietitian
  • Indianapolis, IN
National Provider Identifier
1427957794
Registry record updated Nov 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
COMMUNITY PHYSICIAN NETWORK NUTRITION SERVICES LLC
Practice address
7240 Shadeland Sta Ste 200
Indianapolis, IN 46256-3968
Phone
(317) 621-2677
NPI assigned
Nov 3, 2026
Last updated
Nov 4, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY PHYSICIANS OF INDIANA INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2026

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

Authorized official

Name
Dr. John Kunzer, MD
Title
Evp
Phone
(317) 355-7171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

7240 Shadeland Sta Ste 200
Indianapolis, IN 46256-3968

Mailing address

6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890
Phone (317) 621-7562

NPI Registry JSON

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

{
    "created_epoch": "1793664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793750400000",
    "number": "1427957794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890",
            "telephone_number": "317-621-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7240 SHADELAND STA STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563968",
            "telephone_number": "317-621-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PHYSICIAN NETWORK NUTRITION SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY PHYSICIANS OF INDIANA INC",
        "enumeration_date": "2026-11-03",
        "last_updated": "2026-11-04",
        "certification_date": "2026-11-04",
        "status": "A",
        "authorized_official_last_name": "KUNZER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "317-355-7171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "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 Nov 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.