Organization Active NPI

The Medical Collection

  • Prosthetic/Orthotic Supplier
  • Indianapolis, IN
National Provider Identifier
1447832183
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
THE MEDICAL COLLECTION
Practice address
4556 N Shadeland Ave
Indianapolis, IN 46226-3835
Phone
(317) 759-7979
NPI assigned
Apr 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Authorized official

Name
Ms. Ricki Lacy
Title
Owner
Phone
(317) 759-7979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

4556 N Shadeland Ave
Indianapolis, IN 46226-3835

Mailing address

4556 N Shadeland Ave
Indianapolis, IN 46226-3835

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 3174495990

National Provider Directory

National Provider Directory

Locations

740 N Shortridge Rd
Unit 199171
Indianapolis, IN 46219

4556 N Shadeland Ave
Indianapolis, IN 46226
Phone (317) 759-7979

NPI Registry JSON

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1447832183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4556 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462263835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4556 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462263835",
            "telephone_number": "317-759-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICAL COLLECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "LACY",
        "authorized_official_first_name": "RICKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-759-7979",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "3174495990",
            "affiliation": "N",
            "address_1": "4556 N Shadeland Ave",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462263835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 2, 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.